多切口引流一期根治术治疗蹄铁型肛周脓肿的临床疗效  

Clinical Effect of Multi-incision Drainage Primary Radical Procedure for Horse-shoe Shaped Perianal Abscess

作　　者：沙喜[1] 张晟[1] 闵丽[1] 

机构地区：[1]上海市嘉定区中医医院肛肠科,上海201800

出　　处：《中国肛肠病杂志》2015年第12期33-34,共2页Chinese Journal of Coloproctology

基　　金：国家中医药管理局“十二五”重点专科（ZJ0901GC025）;上海市中医临床重点学科建设项目（ZYXK2012015）;上海市嘉定区科学技术发展基金项目（201227）

摘　　要：为探讨多切口引流一期根治术治疗蹄铁型肛周脓肿的临床疗效，将120例蹄铁型肛周脓肿患者随机分为治疗组和对照组，各60例，治疗组予以多切口引流一期根治术治疗，对照组予以传统一期切开排脓、二期肛瘘手术治疗，对比两组患者总体疗效、肛门疼痛、创面渗出量、住院时间和治疗费用。结果显示，两组总有效率比较差异无统计学意义，P〉0．05；治疗组术后肛门疼痛评分、创面渗出量、住院时间、住院费用均明显少于对照组，P〈0．05。结果表明，多切口引流一期根治术治疗蹄铁型肛周脓肿疗效肯定。This study was to investigate the clinical effect of multi-incision drainage primary radical procedure for treating horse-shoe shaped perianal abscess,randomly divided 120 cases into treatment group and control one, n = 60, for each; gave the former with above procedure, while the latter was adopted routine procedure（i.e, primary incision for ejection pus, scondary fistula surgery） ;then the total effect, postoperative pain of anus and transudate volume from wound-surface, hospitalization time and medical cost, etc of both groups were compared.As results, except for the total effective rate having no statistical difference between both groups（ P 〉0.05）,other indexes of the former were all significantly less that of the latter（ P 〈0.05）.Resuhs show that above mentioned procedure for treating horse-shoe shaped perianal abscess has determined effect.

关 键 词：肛周脓肿 多切口 引流 一期根治术 疗效 

分 类 号：R657.15[医药卫生—外科学]