手术切开引流对肛周脓肿患者肛瘘形成的防治效果  

Control effect of surgical incision and drainage on anal fistula formation in patients with perianal abscess

作　　者：姜鹏君[1] 马国珍[2] 刘恒良 龚颖生[1] 彭文[1] 

机构地区：[1]深圳市南山区人民医院肛肠外科,广东深圳518052 [2]深圳市南山区人民医院大新社区健康服务中心,广东深圳518052

出　　处：《中国当代医药》2017年第16期30-32,共3页China Modern Medicine

摘　　要：目的探讨切开引流对肛周脓肿肛瘘形成的防治效果,对临床治疗提供帮助。方法选择我院2016年4月~2017年1月的80例临床患者,通过随机分组(即数字分组法)分为观察组与对照组,每组均为40例。观察组的患者采取一次性手术切开引流挂线术的方式治疗,对照组仅采用常规治疗的方式将脓肿切开。比较两组患者术后的治疗效果及疾病复发概率情况。结果观察组的脓肿复发率和肛瘘形成率分别为2.5%与5.0%,对照组为12.5%与25.0%,两组比较差异有统计学意义(P<0.05)。结论采用一次性手术切开引流挂线术治疗肛周脓肿能够很好地缩短患者的治疗疗程,有效避免各种手术之后的伤口恶化现象,建议临床上推广使用。Objective To study the effect of incision and drainage on the formation of anal fistula formation in perianal abscess by surgery,and to provide help for clinical medical treatment.Methods 80 patients with clinical data from April 2016 to January 2017 were selected.The patients were divided into two groups：the observation group and the con- trol group by random grouping （ie,digital grouping method）.The number of patients in each group were 40 cases.The pa- tients in the observation group were treated with a one-time surgical incision and drainage technique, and the abscess was cut by conventional treatment only in the control group.The two groups of patients after treatment and disease re- currence probability,the corresponding conclusions were compared.Results The abscess recurrence rate and anal fistula formation rate of observation group was 2.5% and 5.0% respectively,the control group was 12.5% and 25.0%,the differ- ence between the two groups was statistically significant （P〈0.05）.Conclusion The treatment of perianal abscess with one-time surgical incision and drainage is a good way to shorten the treatment course of the patients. It is effective to avoid the worsening of the wound after various operation. It is suggested that it should be widely used clinically.

关 键 词：外科学 肛周脓肿 引流挂线术 预防和控制 肛瘘 

分 类 号：R657.16[医药卫生—外科学]