摘要
为了探讨肛周脓肿切开引流术后挂线的最佳时机,回顾性分析肛周脓肿632例术后半年内复发率与术式的关系。结果显示,保守治疗复发率16.7%;皮下脓肿复发率14.3%;括约肌间脓肿复发率10.1%;坐骨直肠窝脓肿复发率18.8%。结果表明,肛周脓肿切开引流时间要早,挂线时间要根据病情而定,二期手术处理好内口是关键。
The relationship of recurrence rate and the surgical procedure within 6 monthes was retrospectively analized in the study of 632 cases with perianal abscesses for the objective of selecting the best period of time for thread-drawing after incision & drainage of perianal abscesses. Results showed that the recurrence rate of conservative treatment was 16.7%,the recurrence rate of subcutaneous abscess was 14.3 %, the recurrence rate of inter-sphincter abscess was 10.1%, and the recurrence rate of ischiorectal fossa abscess was 18.8%. It is suggested that the time of incision & drainage should be earlier,the time of threaddrawing should be selected according to the condition,and the key point in secondary surgical treatment is the management of internal opening.
出处
《中国肛肠病杂志》
2006年第5期19-20,共2页
Chinese Journal of Coloproctology
关键词
肛周脓肿
切开引流
挂线
复发
Perianal abscess
Incision & drainage
Thread-drawing
Relapse