肛周深间隙脓肿术后负压球持续引流临床研究  

Application of negative pressure ball drainage on the perianal abscess in deep parapharyngeal space:a study of curative effect

作　　者：潘友珍[1] 甄金霞[1] 郑振麟 

机构地区：[1]上海市浦东新区公利医院肛肠科,上海200135

出　　处：《中国实用外科杂志》2009年第9期746-748,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨一次性负压球引流在肛周深间隙脓肿术后的临床效果。方法将2007年1月至2008年8月上海市浦东新区公利医院收治的60例肛周深间隙脓肿术后病人随机分为负压球引流组(治疗组,n=30)和凡士林纱条引流组(对照组,n=30),分别比较术后两组病人的疼痛情况、止痛剂使用情况、术后引流情况、创面愈合时间等,并于创面愈合后3、6、12个月进行随访,观察后遗肛瘘情况。结果治疗组的换药疼痛积分情况、止痛剂应用情况、创面愈合时间均低于对照组(P<0.01);术后6及12个月治疗组后遗肛瘘率低于对照组(P<0.01)。结论一次性负压球非常适合应用于肛周深间隙脓肿的术后引流。Objective To study the clinical effect of the negative pressure ball drainage in the application of postoperative perianal abscess in deep parapharyngeal space. Methods The 60 patients with perianal abseess in deep parapharyngeal space admitted between January 2007 and August 2008 at Gongli Hospital of Pudong New Area of Shanghai City were randomly divided into negative pressure ball group （treatment group n=30） and vaseline gauze group （control group n=30）. Occurrence of pain, postoperative analgesic, postoperative drainage and wound healing time were compared respectively. Follow-up was performed in 3 months, 6 months and 12 months after the operation in order to observe the occurrence of secondary anal fistula. Results Occurrence of pain, postoperative analgesic, postoperative drainage and wound healing time of treatment group was lower than those of the control group （P 〈0.01）. Incidence of secondary anal fistula of treatment group was lower than that of the control group （P 〈0.01）. Conclusion Negative pressure ball is very suitable for postoperative drainage of perianal abscess in deep parapharyngeal space.

关 键 词：肛周深间隙脓肿 负压球 

分 类 号：R6[医药卫生—外科学]