保留肛尾韧带置管引流术治疗后位蹄铁型肛周脓肿的疗效观察  

Saving Anococcygeal Ligament and Catheterization Drainage in the Treatment of Posterior Horseshoe-shaped Perianal Abscess：Therapeutic Effect Observation

作　　者：李学化[1] 余智涛[1] 王悦辉[1] 李绮瀚[1] 侯辉[1] 温圣荣[1] 

机构地区：[1]广东省梅州市人民医院肛肠科,广东梅州514031

出　　处：《中国肛肠病杂志》2012年第4期33-35,共3页Chinese Journal of Coloproctology

摘　　要：为观察保留肛尾韧带、置管引流术治疗后位蹄铁型肛周脓肿的临床疗效，将60例后位蹄铁型肛周脓肿患者随机分为治疗组和对照组，各30例，治疗组行保留肛尾韧带、置管引流术，对照组行放射状多切口对口引流术，对比分析两组创面愈合时间、术后疼痛评分及肛门功能等情况。结果显示，治疗组治愈率为96．7％，对照组治愈率为93．3％，两组治愈率差异无统计学意义，P〉0．05；但在创面愈合时间、术后疼痛程度及肛门功能方面，治疗组均明显优于对照组，P〈0．05。随访1～3年，两组均无复发。结果表明，保留肛尾韧带、置管引流术治疗后位蹄铁型肛周帐肿疗效旨定，患者痛苦小、损伤小、恢复快。The objective of this study was to investigate the clinical effect of the combination of saving anococcygeal ligament and catheterization drainage in the treatment of posterior horseshoe-shaped perianal abscess. The 60 patients with this disease were divided into treatment group and control group randomly, 30 cases per group; treatment group received this combination therapy, while control group received radiant multi-incision contra aperture drainage procedure, then the wound-surface healing time, postoperative pain score and anal function,etc of both groups were compared and analysed each other. As results,in the cura- tive rate there was no statistical difference（96.7% vs 93.3%, P 〉0.05） between both groups,but in the wound-surface healing time, postoperative pain degree and anal function, treatment group was significantly superior to control group（ P 〈0. 05） ; the follow-up of 1-3 years did not find recurrence cases in both groups. Results show that above-mentioned combination therapy has certain therapeutic effect, less pain of patients, milder injury and faster recovery.

关 键 词：后蹄铁型肛周脓肿 保留肛尾韧带 置管引流术 疗效 

分 类 号：R657.15[医药卫生—外科学]