النّاسور الشرجي

Authors

  • سجيع مسعود
  • ماجد علي
  • هيثم رشو

Abstract

شملت هذه الدراسة 61 مريضاً بنواسير شرجيّة, قبلوا وعولجوا في قسم الجراحة بمشفى الأسد الجامعي في اللاذقيّة خلال الفترة بين عام 2003 حتّى 31/8/2009, منهم 55 ذكراً (90.16%), و6 إناث (9.84%). تمّ تصنيف النّواسير حسب باركس إلى: نواسير بين المصرّتين عند (46) مريضاً (75.41%), نواسير عبر المصرّتين عند (12) مريضاً (19.67%), نواسير ما فوق المصرّتين عند مريضين (3.28%), ونواسير  خارج المصرّتين عند مريض واحد (1.64%).

كانت الأسباب المرضيّة لحدوثها هي الخرّاجات الشرجيّة المستقيميّة المهملة, أمّا أهمّ المظاهر السريريّة فكانت خروج القيح عبر الشرج (85.25%), وأكثر طرائق التشخيص إتّباعاً هي زرق أزرق الميثيلين (88.52%). تمّ إتّباع تقنيّتين جراحيّتين هما: تقنيّة فتح الموقع (75.41%), وتقنيّة وضع الخزامة (24.59%). بلغت نسبة المضاعفات القريبة (26.23%), ونسبة المضاعفات البعيدة في تقنيّة فتح الموقع (17.39%), وفي تقنيّة وضع الخزامة (66.66%).

 

This study included 61 patients (55 males (90.16%) and 6 females (9.84%) with anal fistulas, admitted and treated in the Department of Surgery at Al-Assad University Hospital in Lattakia from 2003 to 31/8/2009. According to Parks, Fistulas were classified into: intersphincteric fistulas (46) patients (75.41%), transsphincteric fistulas (12) patients (19.67%), suprasphincteric fistulas (2) patients (3.28%), and extrasphincteric fistulas (1) patient (1.64%). The causes of these fistulas were neglected anorectal abscesses. The most important clinical features were draining pus from anus (85.25%). Injection of methylene blue was the most executed investigating method  (88.52%). Two surgical techniques were performed: Lay-open technique (75.41%) and seton placement (24.59%). Incidence of early complications accounted  for (26.23%), while later complications accounted for (17.39%) with  lay-open technique and (66.66%) with seton placement.

 

Downloads

Published

2019-01-17

How to Cite

1.
مسعود س, علي م, رشو ه. النّاسور الشرجي. Tuj-hlth [Internet]. 2019Jan.17 [cited 2024Apr.26];31(5). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6665

Issue

Vol. 31 No. 5 (2009): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 3 > >>