摘要
目的比较采用浅挂线法与传统切开挂线引流治疗高位肛周脓肿患者的疗效。方法选取2015年6月-2017年6月本院肛肠科收治的58例高位肛周脓肿患者作为研究对象,按挂线引流方式的不同分为给予浅挂线法的研究组和给予传统切开挂线引流的对照组,各29例,比较两组手术时间、住院时间、肛门功能及排尿障碍情况、术后切口疼痛评分情况,并总体评价疗效。结果研究组手术时间、住院时间明显短于对照组,术后切口疼痛评分也显著低于对照组,经组间成组t检验(P<0.05)。研究组患者术后肛门不完全失禁及排尿功能障碍的发生率分别为0、6.90%,均显著低于对照组13.79%、27.59%,经组间成组χ~2检验(χ~2=4.2963,P=0.0382;χ~2=4.3500,P=0.0370)。研究组总有效率高达93.10%显著高于对照组72.41%,经χ~2检验(χ~2=4.3500,P=0.0370)。结论浅挂线法在高位肛周脓肿患者治疗效果相较于传统切开挂线引流治疗具有显著优势,为今后治疗高位肛周脓肿提供临床参考。
Objective To compare the curative effect of shallow thread ligating therapy and traditional thread drawing drainage therapy on patients with high perianal abscess. Methods A total of 58 patients with perianal abscess who were treated in the Department of proctology from June 2015 to June 2017 in our hospital were selected as study objects. According to the method of thread drainage, the experimental group was given a shallow thread ligating method while control group was given traditional incision and thread drawing drainage method. Twenty-nine patients in each group. The operative time, length of stay, anal function and voiding dysfunction,postoperative pain scores were compared, and overall efficacy was evaluated. Results The operative time and length of stay in the experimental group were significantly shorter than those in the control group. Postoperative incision pain scores were also significantly lower in the study group than that in the control group（P〈 0.05）. The incidences of incomplete incontinence and voiding dysfunction in the experimental group were 0 and 6.90%, respectively, which were significantly lower than those in the control group（13.79% and27.59%）. χ^2 test was done（χ^2= 4.2963, P = 0.0382）; χ^2= 4.3500, P = 0.0370）. The total effective rate in the experimental group was as high as 93.10%, which was significantly higher than that in the control group（72.41%）,The χ2 test results was χ^2= 4.3500, P =0.0370. Conclusion Shallow thread ligating therapy in the treatment of perianal abscess has more significant advantages compared with the traditional thread drawing drainage therapy. And it provides clinical reference for treatment of perianal abscess in the future.
作者
张波
王海云
ZHANG Bo;WANG HaiYun(Department of proctology,People＇s Hospital of bazhou,Bazhou,Xinjiang,841000,China)
出处
《新疆医学》
2018年第6期640-642,共3页
Xinjiang Medical Journal
关键词
浅挂线
传统切开挂线
高位肛周脓肿
疗效
shallow thread ligating therapy
traditional thread drawing drainage therapy
high perianal abscess
curative effect
