根治性切开引流与单纯切开引流治疗肛周脓肿临床比较  

Clinical Comparison of Radical Incision Drainage and Simple Incision Drainage in the Treatment of Perianal abscess

作　　者：赵长刚 ZHAO Changgang(Liaoning Xinmin Hospital of Traditional Chinese Medicine,Xinmin 110300,China)

机构地区：[1]辽宁省新民市中医院,辽宁新民110300

出　　处：《中国医药指南》2021年第34期86-87,90,共3页Guide of China Medicine

摘　　要：目的关于根治性切开引流术和单纯性切开引流术治疗肛周脓肿临床效果的对比与评估。方法对2017年3月至2018年3月到我院进行治疗的82例肛周脓肿患者以随机方法分为观察组与对照组,每组41例。分别为两组患者通过根治性切开引流术(观察组)和单纯切开引流术(对照组)进行治疗,并比较经不同治疗后的效果。结果 (1)观察组(97.56%)治疗后的治疗总有效率明显比对照组(80.49%)更高,差异有统计学意义(P <0.054)。(2)观察组治疗之后的切口愈合时间、住院时间都明显比对照组更短,疼痛评分明显低于对照组,差异有统计学意义(P <0.05)。(3)治疗以后观察组患者的肛瘘发生率、创面感染率和复发率等明显比对照组更低,差异有统计学意义(P <0.05)。(4)两组患者的肛门功能在治疗之后无明显的差异,差异无统计学意义(P> 0.05)。结论对肛周脓肿患者利用根治性切开引流术进行治疗的效果更好,可提高整体治疗的有效率,并促进患者术后的康复,减轻患者的整体疼痛,降低肛瘘和创面感染的发生率,减少复发,并维持良好的肛门功能,是值得推荐的治疗方法。Objective To compare and evaluate the clinical effects of radical incision and drainage and simple incision and drainage in the treatment of perianal abscess. Methods A total of 82 patients with perianal abscess who came to our hospital for treatment from March 2017 to March 2018 were randomly divided into observation group and control group, with 41 cases in each group. Two groups of patients were treated with radical incision and drainage(observation group) and simple incision and drainage(control group), and the effects of different treatments were compared. Results(1) The total effective rate of treatment in the observation group(97.56%) after treatment was significantly higher than that of the control group(80.49%), and the difference was statistically significant(P<0.054).(2) The incision healing time and hospitalization time in the observation group after treatment were both obviously shorter than the control group, the pain score was significantly lower than the control group, the difference was statistically significant(P<0.05).After treatment, the incidence of anal fistula, wound infection rate and recurrence rate of the observation group were significantly lower than those of the control group, The difference was statistically significant(P<0.05).(4) There was no significant difference in anal function between the two groups of patients after treatment, and the difference was not statistically significant(P>0.05). Conclusion Radical incision and drainage is better for patients with perianal abscess, which can improve the overall treatment efficiency, promote postoperative recovery, reduce the overall pain of the patient, and reduce the incidence of anal fistula and wound infection, Reduce recurrence, and maintain good anal function, is a recommended treatment.

关 键 词：根治性切开引流 单纯切开引流 肛周脓肿 

分 类 号：R657.1[医药卫生—外科学]