摘要
目的:比较三间隙引流术与切开引流挂线术治疗肛周脓肿患者的效果。方法:选取113例肛周脓肿患者为研究对象,按照随机数字表法分为对照组(n=56)和观察组(n=57)。对照组采用切开引流挂线术治疗,观察组采用三间隙引流术治疗,比较两组手术情况及术后恢复情况、治疗前后肛门功能评分、疼痛程度[视觉模拟评分法(VAS)]及并发症发生率。结果:观察组治疗总有效率为92.98%,高于对照组的80.36%,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,创面愈合时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后1、7 d,观察组肛门功能评分均高于对照组,差异有统计学意义(P<0.05);观察组术后首次排便和术后7 d排便时的VAS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:三间隙引流术治疗肛周脓肿患者可提高临床疗效,缩短预后恢复时间,促进肛门功能恢复,缓解疼痛,其效果优于切开引流挂线术。
Objective:To compare effects of three-space drainage and incision and drainage threading-drawing in treatment of patients with perianal abscess.Methods:113 patients with perianal abscess were selected as the research objects and were divided into control group(n=56)and observation group(n=57)according to the random number table method.The control group was treated with incision and drainage threading-drawing,while the observation group was treated with three-space drainage.The intraoperative and postoperative recovery conditions,the anal function scores,the pain degree[visual analog scale(VAS)]and the incidence of complications were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the observation group was 92.98%,which was higher than that the control group of 80.36%,and the difference was statistically significant(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).The intraoperative blood loss in the observation group was less than that in the control group;the wound healing time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).1 and 7 days after the surgery,the anal function score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The VAS scores of the first defecation and 7-day postoperative defecation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The three-space drainage in the treatment of the patients with perianal swelling can improve the clinical effects,shorten the prognosis time and the recovery time,promote the recovery of anal function,and relieve the pain.Moreover,it is superior to incision and drainage threading-drawing.
作者
龙文浩
LONG Wenhao(General Surgery of Chikan District People’s Hospital of Zhanjiang City,Zhanjiang 524000 Guangdong,China)
出处
《中国民康医学》
2022年第9期129-131,共3页
Medical Journal of Chinese People’s Health
关键词
肛周肿胀
引流挂线术
三间隙引流术
肛门功能
并发症
Perianal swelling
Drainage threading-drawing
Three-space drainage
Anal function
Complication
