不同脓腔处理方法对初发后蹄铁型肛周脓肿的临床疗效  

Comparison on the Effects of Different Managements to Puric Chamber on Posterior Horse-shaped Perianal Abscess for the First Time

作　　者：黄洪涛[1] 赵莉[1] 张庆怀[2] 

机构地区：[1]四川省遂宁市第三人民医院肛肠科,四川遂宁629000 [2]天津市人民医院肛肠中心,天津300121

出　　处：《中国肛肠病杂志》2016年第2期42-44,共3页Chinese Journal of Coloproctology

摘　　要：为比较不同脓腔处理方法对初发后蹄铁型肛周脓肿的临床疗效，本研究选取确诊为初发后蹄铁型肛周脓肿的患者60例作为研究对象，随机分为观察组与对照组，各30例，观察组给予内口切开（低切高挂）开窗浮线引流，对照组给予内口切开（低切高挂）开窗引流，对比观察2组患者临床疗效。结果显示，2组患者治愈率均为100％，差异无统计学意义，P〉0．05。但观察组在术中出血、创面愈合时间、术后疼痛、肛门潮湿方面均优于对照组，P〈0．05。结果表明，内口切开（低切高挂）开窗浮线引流治疗初发后蹄铁型肛周脓肿临床疗效显著，安全可靠，操作简单，值得临床推广应用。In order to compared the clinical effects of different managements to pus cavity on posterior horse-shaped perianal abscess for the first time, this study enrolled the 60 patients with this abscess and randomly divided them into observation group （ n =30） and control one（ n =30） ;performed the procedure of incising internal opening （low incision ＆ high drawing） open window floating-thread drainage on observation group,while the procedure of incising internal opening （low incision ＆ high drawing） open window drainage on control group; then compared both group＇s effects,As results, the curative rates of both groups were same（100% vs 100%）.There was no statistic significance difference, P 〉0.05,but in intraoperative bleeding,the time for wound-surface healing,and postoperative pain as well anus damp observation group was all superior to control group（ P 〈0.05）.Results show that the procedure used in observation group has signifieant elinical effeet,is safe and reliable,of simple manipulation,which is worthy to be popularized to use clinically.

关 键 词：蹄铁型肛周脓肿 初发 挂线 切开 

分 类 号：R657.15[医药卫生—外科学]