保留肛窦微创置管冲洗引流治疗肛周脓肿的临床效果观察  

Observation on the clinical effect of minimally invasive catheter irrigation and drainage in the treatment of perianal abscess

作　　者：高兰华 Gao Lanhua(Hospital of Traditional Chinese Medicine,Donghai County,Lianyungang City,Lianyungang,Jiangsu,274700,China)

机构地区：[1]江苏省连云港市东海县中医院,江苏连云港274700

出　　处：《当代医学》2020年第14期99-101,共3页Contemporary Medicine

摘　　要：目的探讨保留肛窦微创置管冲洗引流治疗肛周脓肿的临床效果。方法选取2018年3月至2019年3月本院收治的70例肛周脓肿患者作为研究对象,按照随机数表分为对照组和研究组,每组35例。对照组给予切口引流术治疗,研究组给予保留肛窦微创置管冲洗引流治疗。分析两组临床效果、疼痛度及肛门功能情况。结果治疗后,研究组患者手术时间(23.65±6.32)min、住院时间(6.25±0.75)d、愈合时间(6.16±0.83)d均低于对照组,两组比较差异均有统计学意义(P<0.05);研究组患者术后1 d疼痛评分(2.23±0.98)分和术后5 d疼痛评分(0.86±0.25)分均低于对照组,两组比较差异均有统计学意义(P<0.05);研究组肛门功能正常率为94.29%,高于对照组的71.43%,两组比较差异均有统计学意义(P<0.05)。结论保留肛窦微创置管冲洗引流治疗肛周脓肿患者,能有效缩短手术时间、愈合时间,缓解患者疼痛度,并改善肛门功能,临床应用价值较高。Objective To investigate the clinical effect of minimally invasive catheter irrigation and drainage in the treatment of perianal abscess. Methods 70 patients with perianal abscess in our hospital from March 2018 to March 2019 were selected as the study subjects, and they were divided into control group and study group according to the table of random number, with 35 cases in each group.The control group was treated with incision drainage surgery, while the study group was treated with the combination of minimally invasive catheterization and drainage of retained anal sinus and minimally invasive catheterization and drainage with negative pressure drainage.The clinical effect, pain degree and anal function of the two groups were analyzed. Results After treatment, the operation time(23.65±6.32) min, hospitalization time(6.25±0.75) d, healing time(6.16±0.83) d of the study group were all lower than that of the control group, and the difference was statistically significant between the two groups(P<0.05). In addition, the pain score(2.23±0.98) scores and pain score(0.86±0.25) scores of the patients in the study group on the first day after surgery were less than that of the control group, and the difference was statistically significant between the two groups(P<0.05). The normal rate of anal function in the study group was 94.29%, higher than that in the control group(71.43%), and the difference was statistically significant between the two groups(P<0.05). Conclusion Minimally invasive catheterization and drainage for the preservation of anal sinus in patients with perianal abscess can effectively shorten the operation time and healing time, relieve the pain of patients, and improve their anal function, which has high clinical application value.

关 键 词：肛周脓肿 微创置管冲洗引流术 保留肛窦 疼痛度 肛门功能 

分 类 号：R657.15[医药卫生—外科学]