肛周脓肿彩超下微创穿刺置管冲洗治疗与切开引流治疗的效果对比分析  

Comparative analysis of the effects of minimally invasive puncture and catheter irrigation treatment and incision and drainage treatment of perianal abscess under color ultrasound

作　　者：何智勇 郭天文 郭海刚 爱勇 杨淑珍 He Zhiyong;Guo Tianwen;Guo Haigang(Department of Anorectum,Baotou 291 Hospital,Baotou 014040,China)

机构地区：[1]包头二九一医院肛肠科,014040

出　　处：《中华保健医学杂志》2025年第1期156-159,共4页Chinese Journal of Health Care and Medicine

摘　　要：目的比较肛周脓肿直肠超声引导下微创穿刺置管冲洗引流治疗和肛周脓肿切开引流治疗的临床效果。方法选取2021年6月~2023年6月包头市二九一医院收治的肛周脓肿患者80例,运用随机数表法将其分为切开引流组(切开引流治疗)和微创穿刺组(直肠超声引导下微创穿刺置管冲洗引流治疗),各40例。收集两组患者一般资料,比较两组患者临床疗效、炎症因子水平、临床症状、脓腔最大截面积和肛门功能Wexner评分。结果切开引流组有效率100%,微创穿刺组有效率97.50%,差异无统计学意义(χ^(2)=1.317,P=0.518)。两组患者术前炎症指标、临床症状指标、脓腔最大截面积和肛门功能差异无统计学意义(P>0.05),术后两组白细胞绝对值、C反应蛋白水平、发热评分、疼痛评分、渗出评分、脓腔最大截面积和Wexner评分均下降,且微创穿刺组疼痛评分、术后3和7 d脓腔最大截面积低于切开引流组[(0.80±0.29)分vs.(0.38±0.17)分、(4.22±0.99)cm^(2)vs.(2.11±0.74)cm^(2)、(2.09±0.71)cm^(2)vs.(0.52±0.18)cm^(2)],差异有统计学意义(t=7.902、10.979、13.556,P<0.05),但两组术后其他指标差异无统计学意义(P>0.05)。结论相较于传统的切开引流术,经直肠超声引导下微创穿刺置管冲洗引流术能在保障疗效的基础上,减轻患者疼痛感受,减小患者创口,为患者带来更理想的治疗体验。Objective To compare the clinical effects of perianal abscess rectal ultrasound-guided minimally invasive puncture catheter irrigation and drainage treatment and perianal abscess incision and drainage treatment.Methods 80 patients with perianal abscess admitted to the 291 Hospital of Baotou City from June 2021 to June 2023 were included and divided into the incision and drainage group(incision and drainage treatment)and the minimally invasive puncture group(rectal ultrasound guided Minimally invasive puncture catheterization(irrigation and drainage treatment),40 cases in each group,collected the general data of the patients,and compared the clinical efficacy,inflammatory factor levels,clinical symptoms,maximum cross-sectional area of the abscess cavity and anal function between the two groups.Results The effective rate of the incision and drainage group was 100%,and the effective rate of the minimally invasive puncture group was 97.50%.The difference was not statistically significant(χ^(2)=1.317,P=0.518).There were no statistically significant differences in preoperative inflammatory indicators,clinical symptom indicators,maximum crosssectional area of abscess cavity,and anal function between the two groups(P>0.05).After surgery,there were no statistically significant differences in the absolute value of white blood cells,C-reactive protein levels,fever scores,pain scores,Exudation score,maximum cross-sectional area of abscess cavity and We The xner scores all decreased(P<0.05),and the minimally invasive puncture group's pain score and maximum abscess cavity cross-sectional area 3 day and 7 day after surgery were lower than those of the incision and drainage group[(0.80±0.29)points vs.(0.38±0.17)points,(4.22±0.99)cm^(2)vs.(2.11±0.74)cm^(2),(2.09±0.71)cm^(2)vs.(0.52±0.18)cm^(2)](t=7.902,10.979,13.556,P<0.05),but there was no statistically significant difference in other postoperative indicators between the two groups(P>0.05).Conclusion Compared with traditional incision and drainage,minimally invasive punct

关 键 词：肛周脓肿 超声 微创穿刺置管引流 切开引流 Wexner评分 

分 类 号：R657.1[医药卫生—外科学]