一期根治术治疗肛周脓肿98例临床分析  

Primary Radical Procedure for Perianal Abscess of 98 Cases：A Clinical Analysis

作　　者：高建军[1] 徐守森[1] 马维龙[1] 童文伟[1] 刘杰[1] 

机构地区：[1]山东省潍坊市妇幼保健院外科,山东潍坊261011

出　　处：《中国肛肠病杂志》2009年第7期39-40,共2页Chinese Journal of Coloproctology

摘　　要：为探讨一期根治术治疗肛周脓肿的临床效果，对98例肛周脓肿行一期根治术，在切开脓肿同时切开内口，必要时挂线处理，术后给予抗感染、换药、坐浴。结果显示，98例中治愈93例，治愈率95％，创面愈合时间平均23d。未发生肛门失禁、漏气、漏便、肛门狭窄及肛门畸形，无肛瘘发生和其他后遗症。结果表明，一次性根治术治疗肛周脓肿较单纯性切开引流术，能明显降低术后脓肿的复发率和肛瘘的形成，缩短了疗程，降低了再手术的几率，并且无后遗症发生。For exploring the clinical effect of primary radical procedure for perianal abscess authors performed this procedure for the 98 cases,i, e at same time of incision of abscess, to incise inner-opening;if necessary to take theread-drawing;after operation to give anti-infection management, dressing change, sitz both, and so on. As results, 93 cases were cured,curative rate was 95% （93/98）;their average healing time was 23 days;no sequelae such as anal incontinence, anal stenosis, deformation of auns, anal fistula, and so on. These indicate that the compared with alone incision ＆ drainage primary radical procedure for perianal abscess can significantly reduce recurrence rate and formation of anal fistula, shorten treatment course,decrease the probability of reoperation,and no any sequelae was found.

关 键 词：肛周脓肿 引流术 挂线术 疗效 

分 类 号：R657.15[医药卫生—外科学] R711.32[医药卫生—临床医学]