切开挂线术与切开引流术治疗肛周脓肿的疗效对比  

Comparison of curative effect between incision-thread-drawing procedure and traditional incisional drainage for perianal abscess

作　　者：任玲[1] 邢承忠[1] 凌光烈[1] 

机构地区：[1]中国医科大学附属第一医院肛肠外科,辽宁沈阳110001

出　　处：《局解手术学杂志》2017年第5期340-343,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨切开挂线术与切开引流术治疗肛周脓肿的疗效差异。方法将2015年6月至2016年6月在我科确诊患有肛周脓肿并首次行治疗的150例患者作为研究对象,根据手术方法将其分成观察组(75例)与对照组(75例),观察组接受切开挂线术治疗,对照组接受切开引流术治疗。观察对比2组患者总体治疗效果、手术时间、术后恢复时间、住院时间、住院费用、创面愈合时间及术后并发症等。结果 2组患者总体治疗效果差异无统计学意义(P>0.05);观察组手术时间、术后恢复时间、住院时间、住院费用、创面愈合时间均明显优于对照组,差异有统计学意义(P<0.05);观察组患者肛瘘发生、脓肿复发等并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论切开挂线术治疗肛周脓肿与切开引流术相比,临床效果更显著,术后并发症更少,脓肿复发率更低,可作为临床治疗肛周脓肿的首选方法。Objective To explore the difference of the curative effect between incision-thread-drawing procedure and traditional incision drainage in the treatment of perianal abscess.Methods A total of 150 patients diagnosed with perianal abscess and treated at the first time from June 2015 to June 2016 in our department were selected as the research object in this experiment,who were divided into the observation group（75 cases） and control group（75 cases） according to the surgical method.Patients in the observation group were performed with incision-thread-drawing procedure,while the control group were treated by traditional incision drainage.The overall treatment effect,operation time,postoperative recovery time,hospital stay,hospital costs,wound healing time and postoperative complications between the two groups were observed and compared.Results The difference of the overall treatment effects between two groups were not statistically significant（P〈0.05）.The operation time,the postoperative recovery time,the hospitalization time and the cost,the time of wound healing of observation group were significantly better than the ones of the control group,the differences were statistically significant（P〈0.05）.The recurrence rates of anal fistula,abscess and other complications in patients of observation group were significantly lower than the ones of control group.The differences were statistically significant（P〈0.05）.Conclusion Compared with traditional incision drainage,the incision-thread-drawing procedure is more effective with less complications and lower recurrence rate,which should be the first choice for the treatment of perianal abscess.

关 键 词：切开挂线术 切开引流术 肛周脓肿 并发症 

分 类 号：R657.15[医药卫生—外科学]