手术治疗婴幼儿肛周脓肿的临床研究  

Clinical Study on Infantile Perianal Abscess Treated with Surgery

作　　者：梁靖华 苏红波 孙兴伟 贾彤[2] 李青[3] 景彦[4] LIANG J ing-hua;SU Hong-bo;SUN Xing-wei;J IA Tong;LI Qing;J ING Yan(Xi＇an City＇s Hospital of TCM ,Xi＇an ,Shaanxi 710021;Hanzhong City＇s Hospital of TCM, Hanzhong, Shaanxi 723000;Hanzhong City＇s People＇s Hospital, Hanzhong, Shaanxi 723000;3201 Hospital of Hanzhong City ,Hanzhong ,Shaanxi 723000)

机构地区：[1]陕西省西安市中医医院,陕西西安710021 [2]汉中市中医医院,陕西汉中723000 [3]汉中市人民医院,陕西汉中723000 [4]汉中市3201医院,陕西汉中723000

出　　处：《中国肛肠病杂志》2018年第2期32-35,共4页Chinese Journal of Coloproctology

摘　　要：为探讨一种最佳的治疗婴幼儿肛周脓肿的方法,本研究对比一次性根治术和切开引流术治疗婴幼儿肛周脓肿的效果。选择2014年6月至2017年6月于西安市中医医院肛肠科行一次性根治术治疗的60例肛周脓肿婴幼儿(年龄6个月至3岁)作为观察组,选择同期于汉中市中医医院、汉中市人民医院、汉中市3201医院肛肠科行切开引流术治疗的60例肛周脓肿患儿作为对照组,对比2组总体疗效、创口愈合时间、术后并发症和生活质量。结果显示,1)观察组治愈59例(98.3%),无效1例;对照组治愈7例(11.7%),无效53例(其中脓肿复发24例,形成肛瘘29例)。观察组治愈率明显高于对照组,X^2=91.04,P<0.05。2)观察组创面愈合时间(8.75±1.43)d,对照组(5.60±1.20)d。观察组创面愈合时间长于对照组,P<0.05。3)术后第1天、第3天患儿生活质量评分,观察组低于对照组,P<0.05;术后第7天、第14天患儿生活质量评分,观察组高于对照组,P<0.05。结果表明,一次性根治术治疗年龄6个月至3岁的肛周脓肿患儿,虽创面愈合时间稍长,术后早期(1周内)生活质量偏低,但可一次性治愈,阻断疾病进展,使患者免受二次手术痛苦。此类患儿建议行一次性根治术。This study was to search for a optimum therapy for infantile perianal abscess through comparing the effects of primary radical procedure and incision ＆ drainage procedure in the treatment of this disease, selected 60 infantile patients（aged from 6 months to 3 years old） who received primary radical procedure in Xi＇an City＇s Hospital of TCM from June 2014 to June 2017yr. as observation group and selected 60 child pa- tients who received incision ~ drainage procedure in Hanzhong City＇s TCM Hospital,People＇s Hospital and 3201 Hospital at same period as control group;then compared whole effect,wound healing time,postopera- tive complication and patienfs quality of life between the two groups. As results, 1）the curative rate：there were 59 cases cured,1 case non-response in observation group and 7 cases cured, 53 cases non-response （24 suffered from recurrence, 29 formed fistula in control group.The curative rate of the former（98.3%） was significantly higher than the latter（11.7%）,x2 =91.04, P 〈0.05 ;2）the wound surface healing time of ob- servation group was longer than that of control group[（8.75±1.43） d vs （5.60±1.20） d, P 〈0.05] ;3）on the lst,3rd day after surgery in patient＇s score on the quality of life observation group was lower than con- trol group （ P 〈0.05）,but on the 7th,14th day after surgery observation group was higher than control group（ P 〈0.05）.Resuhs show that primary radical procedure for the infantile patients （6 months -3 years old） make wound-surface healing time a little longer and life quality of postoperative early stage（within 1 week） lower,but it can cure the disease at once and stop the progress of perianal abscess,preventing pa- tients from the secondary operation pain and suffering. Therefore,such children patients would be sugges- ted to receive primary radical procedure.

关 键 词：婴幼儿 肛周脓肿 一次性根治术 切开引流术 效果 

分 类 号：R726.5[医药卫生—儿科]