可弯曲空心探针诊治肛周化脓性汗腺炎14例临床分析  

Clinical analysis on 14 cases of flexible hollow probe in the diagnosis and treatment of perianal hidradenitis suppurativa

作　　者：郭明浩[1] 杜炳林[1] 鲁娜 崔国策[1] GUO Minghao;DU Binglin;LU Na;CUI Guoce(Department of Anorectal,the South District of Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 102618,China)

机构地区：[1]中国中医科学院广安门医院南区肛肠科,北京102618

出　　处：《中国医药导报》2022年第20期127-131,共5页China Medical Herald

基　　金：北京市首都区域特色重点专科项目(京中医政便函〔2018〕29号);北京市大兴区卫生健康委员会办公室医学重点学科肛肠科项目。

摘　　要：目的分析可弯曲空心探针诊治肛周化脓性汗腺炎的临床效果,探讨可弯曲空心探针诊治肛周化脓性汗腺炎的临床价值。方法回顾性分析中国中医科学院广安门医院南区肛肠科2015年1月至2021年4月收治的14例肛周化脓性汗腺炎患者的临床特点、诊断及治疗方法。结果14例患者均行可弯曲空心探针术前检查及外科手术治疗,术中应用可弯曲空心探针定位,彻底精准地切除病灶,术后常规抗炎、开放伤口者应用可弯曲空心探针冲洗换药等治疗。平均手术时间为(45±6)min,平均住院时间为(15.6±3.7)d,平均伤口愈合时间为(38.7±4.5)d。随访6~10个月,14例患者均1次手术治愈,无复发。结论可弯曲空心探针应用于肛周化脓性汗腺炎的诊治中可指导准确切除病灶,缩短手术时间,减少患者痛苦,提高一次手术治愈率,符合“精准医疗”与“个体化治疗”的理念,值得在临床中推广应用。Objective To analyze the clinical efficacy of flexible hollow probe in the diagnosis and treatment of perianal hidradenitis suppurativa,and to explore the clinical value of flexible hollow probe in the diagnosis and treatment of perianal hidradenitis suppurativa.Methods The clinical characteristics,diagnosis and treatment methods of 14 patients with perianal hidradenitis suppurativa admitted to Department of Anorectal,the South District of Guanganmen Hospital,China Academy of Chinese Medical Sciences from January 2015 to April 2021 were analyzed retrospectively.Results All 14 patients underwent preoperative examination and surgical treatment with a flexible hollow probe.During the operation,the flexible hollow probe was used to locate and the lesion was extensively and thoroughly removed.After the operation,conventional anti-inflammatory and open wounds can be treated with flushing and dressing of the flexible hollow probe.The average operation time was(45±6)minutes,the average hospital stay was(15.6±3.7)days,and the average wound healing time was(38.7±4.5)days.Followed up for six to ten months,a toral of 14 patients were cured without recurrence.Conclusion The flexible hollow probe used in the diagnosis and treatment of perianal hidradenitis suppurativa can guide the accurate resection of the lesion,shorten the operation time,and reduce the pain of the patient,and improve the cure rate of one operation.It conforms to the concept of“precision medicine”and“individualized treatment”and is worthy of clinical promotion application.

关 键 词：可弯曲空心探针 肛周化脓性汗腺炎 诊断 治疗 

分 类 号：R657.1[医药卫生—外科学]