一次性根治术治疗小儿肛周脓肿的临床效果分析  

Clinical effect of one-time radical operation on perianal abscess in children

作　　者：林必显 LIN Bixian(Department of Paediatric Surgery,Zhangzhou Municipal Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,Fujian,China)

机构地区：[1]福建医科大学附属漳州市医院小儿外科,福建漳州363000

出　　处：《外科研究与新技术（中英文）》2024年第4期342-344,共3页Surgical Research and New Technique

摘　　要：目的研究一次性根治术治疗小儿肛周脓肿的临床效果。方法选取2019年1月—2022年12月期间收治的75例肛周脓肿患儿,按随机数字表法分为根治组(n=38)和保守组(n=37)。保守组采用保守治疗,根治组采用一次性根治术,期间收集并分析患儿的治疗有效率、肛周功能、并发症等数据。结果两组患儿治疗有效率差异无统计学意义(P>0.05);治疗前两组患儿肛周功能评分无明显差异,在予以不同治疗后,两组患儿肛周功能评分均较治疗前有所降低,但组间差异均无统计学意义(P>0.05);保守组并发症发生率低于根治组(P<0.05)。结论在为肛周脓肿患儿进行治疗时,一次性根治术与保守治疗效果接近,但保守治疗造成并发症的风险更低,建议在实际治疗中借鉴。Objective To study the clinical effect of one-time radical operation on perianal abscess in children.Methods Seventy-five children with perianal abscess diagnosed and treated from January 2019 to December 2022 were selected and divided into a radical group(n=38)and a conservative group(n=37)according to random number table method.The conservative group was treated with conservative treatment,and the radical group was treated with one-time radical operation.The therapeutic effective rate,perianal function,complications,and other data were collected and analyzed.Results There was no significant difference in the therapeutic effective rate between the two groups(P>0.05).There was no significant difference in perianal function scores before treatment,and after different treatments,the perianal function scores decreased in both groups,with no statistical difference between the two groups(P>0.05).The complication incidence rate in the conservative group was lower than that in the radical group(P<0.05).Conclusion In the treatment of children with perianal abscess,one-time radical surgery has the same effect as conservative treatment,but the risk of complications caused by conservative treatment is lower,so the conservative treatment is recommended to use in clinical treatment.

关 键 词：肛周脓肿 儿童 一次性根治术 有效率 肛周功能 

分 类 号：R574.8[医药卫生—消化系统]