分层平行引流治疗肛周高位多间隙脓肿临床研究  

Layered Parallel Drainage in the Treatment of High Perianal Multi-space Abscess：Clinical Observation

作　　者：汤绍波[1] 杨双华[1] 吕全常 余静[1] 

机构地区：[1]云南省开远市人民医院肛肠科,云南开远661600

出　　处：《中国肛肠病杂志》2016年第4期36-37,共2页Chinese Journal of Coloproctology

摘　　要：为探讨分层平行引流治疗肛周高位多间隙脓肿的临床疗效，将156例肛周高位多间隙脓肿患者分为2组，治疗组88例采用分层平行引流术治疗，对照组68例采用一次切开挂线引流术治疗。对比观察2组患者术后疼痛、脓肿复发率、肛瘘形成率、创口愈合时间、肛门畸形形成率等指标。结果显示，2组患者手术顺利，治疗后2组患者在术后疼痛、脓肿复发率、创口愈合时间、肛门畸形形成率方面治疗组优于对照组（P〈0．05或P〈0．01）。结果表明，分层平行引流术治疗肛周高位多间隙脓肿引流通畅，减轻了术后换药疼痛，复发率低，肛门畸形少，创口愈合时间明显缩短。This study was to observe the clinical effect of layered parallel drainage for treating high perianal multi-space abscess,divided 156 cases of this disease into treament group（88 cases） and control one（68 ca- ses） which respectively received layered parallel drainage and primary incision thread-drawing drainage, then compared both group＇s following indexes such as postoperative pain,abscess recurrence rate,anal fistula formation rate, wound healing time and deformity rate of anus, etc. As results, surgery were all smoothly performed on both groups,in above-mentined all indexes treatment group was superior to control one（ P 〈0.05 ,or P 〈0.01）.Resuhs show that the procedure used in treatment group carl smoothly drain abscess,relieve pain during postoperative exchange dressing,and has such merits as low recurrence rate, less anal deformities, and significantly short wound healing time.

关 键 词：肛周脓肿 分层 平行引流 

分 类 号：R562.25[医药卫生—呼吸系统]