하부직장 및 항문 괄약근을 포함한 회음부 손상의 치험
Management of Traumatic Injury to the Lower Rectum and Anal Sphincter Muscle Combined with Deep Perineal Laceration
정미란, 김호군, 주재균, 류성엽, 박영규, 김형록, 김동의, 박민호, 김영진,
소속 상세정보
정미란 ( Jung Mi-Ran )
전남대학교 의과대학 외과학교실
김호군 ( Kim Ho-Goon )
전남대학교 의과대학 외과학교실
주재균 ( Ju Jae-Kyun )
전남대학교 의과대학 외과학교실
류성엽 ( Ryu Seong-Yeop )
전남대학교 의과대학 외과학교실
박영규 ( Park Young-Kyu )
전남대학교 의과대학 외과학교실
김형록 ( kim Hyeong-Rok )
전남대학교 의과대학 외과학교실
김동의 ( Kim Dong-Yi )
전남대학교 의과대학 외과학교실
박민호 ( Park Min-Ho )
전남대학교 의과대학 외과학교실
김영진 ( Kim Young-Jin )
전남대학교 의과대학 외과학교실
KMID : 0356720080240010045
Abstract
Although rare, traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration present substantial diagnostic and management challenges for surgeons. Between February 2004 and February 2006, six patients were treated for traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration at the Department of Surgery, Chonnam National University Hospital. All six patients underwent a diverting colostomy, primary repair, and presacral a drainage, but only three cases underwentva a sphincteroplasty. Three patients who underwent a sphincteroplasty had normal findings on anorectal manometry. Traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration have a high morbidity rate and a great influence on the quality of life. Thus, such injuries require aggressive management, and treatment modalities should be tailored to the individual case. J Korean Soc Coloproctol 2008;24:45-50
키워드
직장 손상;항문 외상
Rectal injury;Anus trauma
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