一期根治术配合中药化腐生肌治疗肛门直肠周围脓肿94例的临床观察  

The primary radical surgical operation plus removing necrotic tissue and promoting tissue regeneration with traditional Chinese drugs in the treatment of peri-anorectal abscess: An analysis of 94 cases

作　　者：张羽[1] 温小一[1] 陈雄 李振宇[1] 李宇栋[1] 

机构地区：[1]首都医科大学附属北京中医医院肛肠科,北京100010 [2]广东省河源市中医院肛肠科,广东河源517000

出　　处：《中国现代医生》2013年第26期109-110,共2页China Modern Doctor

摘　　要：目的探讨肛门直肠周围脓肿合理、有效的治疗方法。方法采用一期根治术配合中药化腐生肌治疗肛门直肠周围脓肿94例。结果94例患者全部一期治愈，其中2例出现肛门渗液，其他病例未出现术后并发症。全部病例术后随访0．5～5年，无患者复发和形成肛瘘。术后配合中药化腐清创换药，对促进局部伤口愈合有明显的积极的影响。结论一期根治术配合中药化腐生肌治疗可使患者避免二次手术，并能减轻患者再手术的痛苦和经济负担，是治疗肛门直肠周围脓肿合理有效的、值得推广的方法。Objective To explore rational and effective operative methods in treatment of peri-anorectal abscess. Methods Ninety four patients with the primary radical surgical operation plus removing necrotic tissue and promoting tissue regeneration with traditional Chinese drugs. Results All the 94 cases were cured in primary. There was anal liquid leakage occurred in 2 cases and no anal incontinence occurred in the other cases. Follow up of 0.5-5 years in all the cases showed no recurrence and fistula occurred; the postoperative dressing change with traditional Chinese drugs play a role in recovery. Conclusion The primary radical surgical operation plus removing necrotic tissue and promoting tissue regeneration with traditional Chinese drugs is a rational and effective in treatment of Peri-anorectal Abscess, and make the patient to avoid the second operation, ease the patient＇s suffering, and lighten the burden in the economic.

关 键 词：肛门直肠周围脓肿 一期根治术 化腐生肌 中药 

分 类 号：R657.15[医药卫生—外科学]