대한대장항문학회

This Paper presents the results of surgery and chemotherapy for 20 cases of<br>tuberculous anal fistula treated at the Department of Surgery, National Police Hospital<br>from Jan. 1982 to Dec. 1991 inclusive.<br>Disagreement exists as to criteria for diagnosis, but my experience indicates that the<br>results of histopathologic examination supply the only criterion of importance. Surgical<br>intervention is still necessary in many cases, despite the effective medication of<br>tuberculosis, their operations were fistulectomy(55%), fistulotomy with laying open(20%),<br>Coring out(15%), I ＆ D+colostomy(5%), and Seton technique(5%).<br>Standard<br>chemotherapy regimen(Isoniazid, Rifampicin, Ethambutol,(and Streptomycin)), was<br>undertaken in Patients with 1 case of recurrence, but short course chemotherapy<br>regimen(Isoniazid, Rifampicin, Ethambutol, Streptomcin, Pyrazinamide) did not have<br>recurrence. Therefore, the latter was effective and could be recommended as a promising<br>regimen for the treatment of tuberculous fistula-in-ano.<br>