复杂性肛周瘘管性脓肿分型治疗临床分析  

Clinical Analysis on the Treatment of Complex Perianal Fistulous Abscess According to its Presenting Patterns

作　　者：李志强 丁其新 石珊珊 

机构地区：[1]河南省洛阳肛肠医院,河南洛阳471001

出　　处：《中国肛肠病杂志》2010年第7期42-43,共2页Chinese Journal of Coloproctology

摘　　要：为探讨复杂性肛周瘘管性脓肿的最佳治疗方法，提高治愈率，减少术后并发症，对89例复杂性肛周瘘管性脓肿分型治疗。根据其感染部位的不同，分别采用经直肠内切开、经直肠内挂线、经肛门外低位切开高位挂线及主管腔切开挂线、支管腔开窗旷置引流等不同术式。所有病例均一期治愈，治愈率100％，术后无肛门失禁、变形、漏气、渗液及功能异常。结果表明，合理的治疗方法不仅可以治愈该病，减轻患者痛苦，缩短疗程，而且能最大限度地保护肛门功能，减少并发症。For exploring the optimum therapy for complex perianal fistulous abscess,increasing its curative rate and reducing complication, authors treated 89 patients with this disease according to presenting patterns of abscess, i. e, their different sites of infection, including intra-rectal incision, intra-rectal thread- drawing~ external anal low incision and high thread-drawing, main tract incision thread-drawing and branch tract part fenestration and drainage not excision,etc. All the cases were cured primarily,curative rate was 100% after operation no anal incontinence, deformation, leakage of gas and fluid, and abnormal function were noticed. Results show that rational therapies may not only cure patients and relieve their pain,shorter course,but also protect anal function furthest and reduce complications.

关 键 词：肛周脓肿 分型治疗 临床观察 

分 类 号：R657.105[医药卫生—外科学]