Diagnosis and treatment of 37 cases of anorectal injuries

Objective: To investigate the diagnosis and treatment of anorectal injuries.Methods: The clinical data of 37 patients with anorectal injuries from Jan.1999 to Jan.2000 were analyzed.Results: Of the 37 patients,29 had rectal injuries,8 cases anal injuries and 26 cases presented combined injuries.All the cases received surgical therapy.Simple anorectal repair plus drainage was performed in 17 cases,anorectal repair plus sigmoid colostomy in 14 cases and colostomy for fecal diversion and drainage in 6 cases.Thirty-six of the 37 cases were cured and 1 died.Complications occurred in 7 cases.Conclusions: Early diagnosis,proper application of repair,fecal diversion and drainage,positive management of infection and associated injuries are essential to improve the cure rate and reduce the mortality of anorectal injuries.