超声引导下穿刺置管引流术对肛周深部脓肿的治疗价值  

Value of the procedure of percutaneous catheter drainage guided by ultrasound in treatment on deep perianal abscess

作　　者：王大全[1] 何淼[1] 尚云龙[1] 曹军英[2] 张雪峰[1] 

机构地区：[1]沈阳军区总医院普通外科,沈阳110480 [2]沈阳军区总医院特诊科,沈阳110480

出　　处：《国际外科学杂志》2014年第2期81-83,共3页International Journal of Surgery

摘　　要：目的 为探讨肛周深部脓肿最佳手术方式,采用超声引导下穿刺置管引流术对19例肛周深部脓肿进行治疗,评价其疗效及应用价值.方法 回顾性分析沈阳军区总医院普通外科2012年1月-2013年5月住院的19例肛周深部脓肿患者临床资料,其中男16例,女3例.结果 平均年龄39.8岁,所有患者均手术治愈,无并发症出现,平均住院7.8d,治愈出院后平均随访6.6个月,未见复发或肛瘘形成.结论 超声引导下穿刺置管引流术治疗肛周深部脓肿具有痛苦小、恢复快、住院时间短,疗效确切的优点,并保持肛门正常功能和形态,减少了术后并发症,但远期预后需继续探讨.Objective To discuss the best method to treat deep perianal abscess and to investigate the clinical efficacy and value of the procedure of percutaneous catheter drainage guided by ultrasound in treatment.Ninteen patients with deep abscess underwent the procedure from Jan.2012 to May.2013.Methods Clinical data of 19 patients were analyzed retrospectively,including 16 male cases and 3 female cases.Results The average age is 39.8.All patients were cured without complications.The average length of stay is 7.8 days,a mean follow-up of 6.6 months after discharge,no patient with recurrence or fistula.Conclusion No specific performance of colorectal carcinoid,surgical resection is the most effective method of the treatment of colorectal carcinoid,the procedure should be individual treatment.However,the long term prognosis need to be explored in the future.

关 键 词：肛周脓肿 超声检查 引流术 治疗结果 

分 类 号：R657.15[医药卫生—外科学]