切开挂线与切开引流对高位马蹄型肛周脓肿的疗效及对患者VAS评分和并发症的影响  

Efficacy of Incision Thread-drawing and Incision Drainage on High Horseshoe-shaped Perianal Abscess and Its Influence on VAS Score and Complications

作　　者：谭震 秦澎湃[1] 田磊[1] TAN Zhen;QIN Pengpai;TIAN Lei(Beijing Rectum Hospital / Beijing Erlonglu Hospital, Beijing 100120, China)

机构地区：[1]北京市肛肠医院/北京市二龙路医院外一病区,北京100120

出　　处：《河北医学》2021年第5期810-814,共5页Hebei Medicine

基　　金：北京市卫生和计划生育委员会科研课题,(编号:2018-2-1072)。

摘　　要：目的:探讨切开挂线与切开引流对高位马蹄型肛周脓肿的疗效及对患者VAS评分和并发症的影响。方法:回顾性分析2017年1月至2019年12月我院收治的高位马蹄型肛周脓肿患者384例,采用倾向性匹配评分,按照1∶1比例成功匹配切开引流组(对照组,92例)和切开挂线组(观察组,92例)。比较两组患者围术期指标、手术疗效、术后恢复情况[切口红肿分级、疼痛程度视觉模拟评分法(VAS)]、并发症发生率、术后切口感染、3个月内复发情况等差异性。结果:观察组患者手术时间、术后恢复时间、住院时间、创面愈合时间短于对照组,住院费用低于对照组(P<0.05),显愈率高于对照组(P<0.05),并发症发生率均低于对照组(P<0.05);术后7d,观察组患者切口红肿分级优于对照组,VAS评分低于对照组(P<0.05);观察组患者术后切口感染率、3个月内复发率均低于对照组(P<0.05)。结论:与切开引流治疗高位马蹄型肛周脓肿比较,切开挂线可有效改善手术效果,促进术后恢复,缩短住院时间,减轻术后疼痛和切口红肿,减少并发症发生,降低术后感染和复发率。Objective:To explore the effects of incision thread-drawing and incision drainage on high horseshoe-shaped perianal abscess and its influence on VAS score and complications.Methods:384 patients with high horseshoe-shaped perianal abscess treated in our hospital from January 2017 to December 2019 were retrospectively analyzed.Propensity score matching was used to successfully match the incision drainage group(control group,92 cases)and the incision thread-drawing group(observation group,92 cases)in accordance with the ratio of 1:1.The perioperative parameters,operative efficacy,postoperative recovery status[grading of incision redness and swelling,visual analogue scale(VAS)],incidence rate of complications,postoperative incision infection and recurrence within 3 months were compared between the two groups.Results:The operative time,postoperative recovery time,hospital stay and wound healing time in observation group were shorter than those in control group,and the hospitalization cost was lower than that in control group(P<0.05),and the good improvement rate was higher than that in control group(P<0.05),and the incidence rate of complications was lower than that in control group(P<0.05).At 7d after surgery,the grading of incision redness and swelling in observation group was better than that in control group,and the VAS score was lower than that in control group(P<0.05).The postoperative incision infection rate and recurrence rate within 3 months in observation group were lower than those in control group(P<0.05).Conclusion:Compared with incision drainage for high horseshoe-shaped perianal abscess,incision thread-drawing can effectively improve the operative efficacy,promote postoperative recovery,shorten hospital stay,relieve postoperative pain and incision redness and swelling,reduce occurrence of complications,and lower the postoperative infection and recurrence rate.

关 键 词：切开挂线 切开引流 高位马蹄型 肛周脓肿 VAS 并发症 

分 类 号：R47[医药卫生—护理学]