多点小切口对口引流联合内口切开术治疗肛周脓肿47例疗效观察  

Counterdrainage for Multi-little Incision and Incision for Inner-outlet in the Treatment of Perianal Abscess:Effect Observation on 47 Cases

作　　者：徐龙 XU Long(No.2 Dept.of Surgery,Suncun Hospital of Xintai City,Shandong 271219)

机构地区：[1]山东国欣颐养集团新泰孙村医院外二科,山东新泰271219

出　　处：《中国肛肠病杂志》2021年第6期34-36,共3页Chinese Journal of Coloproctology

摘　　要：为探讨多点小切口对口引流联合内口切开术治疗肛周脓肿的临床疗效,将94例肛周脓肿患者随机分为观察组和对照组,每组各47例。观察组采用多点小切口对口引流联合内口切开术治疗,对照组采用内口切开引流术治疗。比较两组手术指标、疼痛程度及疗效等。结果显示,观察组切口长度小于对照组,创面愈合时间、住院时间均短于对照组(P<0.05);术后1d、3d和1周肛门疼痛评分低于对照组(P<0.05);观察组总有效率为97.87%,高于对照组的82.98%,并发症总发生率及复发率均低于对照组(P<0.05)。结果表明,采用多点小切口对口引流联合内口切开术治疗肛周脓肿,术后切口长度小,可缩短创面愈合与住院时间,减轻疼痛程度,提高疗效,降低并发症发生率及复发率。This study was to investigate the clinical effect of perianal abscess treated with counterdrainage for multi-little incisions and incision for inner-outlet,randomly divided 94patients with perianal abscess into observation group(47cases,received above procedure)and control group(47cases,only incision&drainage for inner-outlet);then,compared both groups'operative norms,patients'pain intensity,and effect,etc.As results,in incision-length;in the time for wound-surface healing,and for hospitalzation;in the score ratings on anal pain at 1,3day and 1week after surgery;in total effective rate;and in complication incidence and recurrence rate,observation group was respectively less,shorter,lower,higher(97.87%vs 82.98%),and lower than control group(all,P<0.05).Results show that counterdrainage for multi-little incisions plus incision for inner-outlet in the treatment of perianal abscess has such merits as less length of incision,shorter time for wound-surface healing and hospitalization,slighter pain,higher effect,as well as lower complication incidence and recurrence rate.

关 键 词：肛周脓肿 内口切开 松弛挂线 小切口 

分 类 号：R657.1[医药卫生—外科学]