经括约肌间入路治疗马蹄形肛周脓肿的临床疗效观察  

Observe the clinical effect of the treatment of horseshoe perianal abscess via the approach between the sphincter internal and the sphincter externus

作　　者：王成兴 李晓平 赵景林 李尚仁 谭群英 何耀明 WANG Chengxing;LI Xiaoping;ZHAO Jinglin;LI Shangren;TAN Qunying;HE Yaoming(Department of Gastrointestinal Surgery,Jiangmen Central Hospital,Affiliated Jiangmen Hospital of Sun Yat-sen University,Jiangmen 529000,Guangdong)

机构地区：[1]江门市中心医院中山大学附属江门医院胃肠外科,广东江门529000

出　　处：《临床普外科电子杂志》2021年第2期24-27,31,共5页Journal of General Surgery for Clinicians(Electronic Version)

基　　金：江门市医疗卫生领域科技计划项目(2020YLA006);江门市中心医院科研杰出青年项目(J202002)。

摘　　要：目的探讨经括约肌间入路治疗马蹄形肛周脓肿的临床疗效。方法选取2014年12月至2019年12月江门市中心医院胃肠外科50例马蹄形肛周脓肿病例,并随机分为观察组(n=25)及对照组(n=25),分别经括约肌间入路及传统入路行脓肿切开引流。比较两组病例手术耗时、手术出血量、术后疼痛持续时间、住院时间、切口愈合时间、肛门功能、肛门形态、脓肿复发率、肛瘘成瘘率及复杂肛瘘占比。结果两组病例在手术耗时、术后疼痛持续时间、切口愈合时间、肛门功能、肛门形态、肛瘘成瘘率及复杂肛瘘占比结果对比,差异具有显著性(P<0.05);但两组病例在手术出血量、住院时间及脓肿复发率上差异无显著性(P>0.05)。结论对比传统入路,经括约肌间入路治疗马蹄形肛周脓肿具有良好的临床效果。Objective To investigate the efficacy of treatment of perianal horseshoe abscess via the approach between the sphincter internal and the sphincter externus.Methods From December 2014 to December 2019,50 cases of horseshoe perianal abscess in gastrointestinal surgery of Jiangmen Central Hospital were selected.According to the random number table,patients with perianal horseshoe abscess were randomly divided into two groups,the experimental group(by the approach between the sphincter internal and the sphincter externus)25 cases and the control group(by classical approach)25 cases.The operation time,intraoperative blood loss,duration of the postoperative pain,hospital stay,healing time of surgical incision,anal function,anal morphology,recurrence rate,anal fistula rate and complex anal fistula rate of two groups were recorded and analyzed.Results There were statistical differences in the terms of operation time,duration of the postoperative pain,healing time of surgical incision,anal function,anal morphology anal fistula rate and complex anal fistula rate,experiment group is much better than that of the control group(P<0.05);However,there were no statistical differences in the terms of intraoperative blood loss,hospital stay and recurrence rate between the two groups(P>0.05).Conclusion Compared with the traditional approach,it has good clinical effect to treat horseshoe perianal abscess through the approach between the sphincter internal and the sphincter externus.

关 键 词：经括约肌间入路 马蹄形 肛周脓肿 肛瘘 疗效 

分 类 号：R65[医药卫生—外科学]