摘要
目的 对比观察切开挂线术与切开引流术治疗肛周脓肿的临床效果。方法 回顾性总结110例肛周脓肿住院患者的临床资料，110例中行切开挂线术治疗（挂线组）46例，行切开引流术治疗（引流组）64例，比较两组术后疗效。结果 与引流组相比，挂线组患者术后脓肿复发率[4％（2／46）与19％（12／64）]、肛瘘形成率[4％（2／46）与23％（15／64）]、创面愈合时间[（20．4±0．9）d与（28．4±0．9）d]、住院时间[（15．4±0．9）d与（25．1±0．9）d]明显为低（P〈0．05）。两组术后无一例发生肛门失禁、肛门狭窄及肛门畸形等。随诊2～3年，无复发，肛门功能均正常。结论 切开挂线术治疗肛周脓肿手术一次成功，脓肿复发率和肛瘘发生率低，疗程短，患者痛苦少。
Objective To compare the clinical effectiveness of incision-thread-drawing procedure and incision and drainage procedure in the treatment of perianal abscess. Methods Clinical data collected from 110 patients with perianal abscess were retrospectively analyzed. Forty-six cases were treated with incision-thread-drawing procedure （ therapy group） and 64 with incision and drainage procedure （ control group）. Results Recurrence rate and incidence of anal fistula were 4% （2/46） and 4% （2/46） in therapy group, respectively, significantly lower than those in control group （ 19% and 23%, P 〈 0.05 ）. Length for the wound surface healing and hospital stay was （20.4 ± 0.9 ） days and （ 15.4 ± 0.9 ） days in therapy group, respectively, significantly lower than that in control group [ （28.4 ± 0.9） days and （25.1 ± 0.9） days, P 〈 0.05 ）. No cases with anal incontinence, anorectal stenosis and anal deformation were found either in therapy group or in control group. No recurrence of perianal abscess was found and all patients showed normal anal function during two-year follow-up after treatment. Conclusion It is suggested that incision-thread-drawing procedure can be primarily performed in the treatment for perianal abscess, with fewer recurrence of abscess, lower incidence of anal fistula, shorter course and less pain.
出处
《中华全科医师杂志》
2006年第11期675-677,共3页
Chinese Journal of General Practitioners
