主灶切开联合多切口引流治疗复杂性肛周脓肿的临床效果  

Clinical effect of main focus incision combined with multi-incision drainage in the treatment of complex perianal abscess

作　　者：张永龙 郁新华 ZHANG Yonglong;YU Xinhua(Baoji High-Tech Hospital,Baoji 721000,China)

机构地区：[1]宝鸡高新医院,陕西宝鸡721000

出　　处：《临床医学研究与实践》2025年第10期78-81,共4页Clinical Research and Practice

摘　　要：目的探究主灶切开联合多切口引流治疗复杂性肛周脓肿的临床效果。方法选择2021年1月至2023年3月我院接收的90例复杂性肛周脓肿患者为研究对象,以随机数字表法将其分为对照组和观察组,每组45例。对照组采用挂线疗法,观察组采用主灶切开联合多切口引流治疗。比较两组的治疗效果。结果观察组的术中出血量少于对照组,手术时间、住院时间短于对照组,治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。术后24 h,观察组的前列腺素E_(2)(PGE_(2))、多巴胺(DA)水平及视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。术后1个月,观察组的肛管静息压、肛管舒张压、肛管最大收缩压高于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率为6.67%,低于对照组的22.22%,差异具有统计学意义(P<0.05)。结论主灶切开联合多切口引流治疗复杂性肛周脓肿的效果显著,不仅能缓解术后疼痛应激反应,还能降低并发症发生风险,有助于肛门功能恢复,值得推广。Objective To explore the clinical effect of main focus incision combined with multi-incision drainage in the treatment of complex perianal abscess.Methods A total of 90 patients with complex perianal abscess received in our hospital from January 2021 to March 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 45 cases in each group.The control group was treated with thread-drawing therapy,and the observation group was treated with main focus incision combined with multi-incision drainage.The therapeutic effects of the two groups were compared.Results The intraoperative blood loss of the observation group was less than that of the control group,the operation time and hospitalization time were shorter than those of the control group,and the total effective rate of treatment was higher than that of the control group,the differences were statistically significant(P<0.05).At 24 h after operation,the levels of prostaglandin E_(2)(PGE_(2)),dopamine(DA)and Visual Analogue Scale(VAS)score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 1 month after operation,the anal resting pressure,anal diastolic pressure and anal maximum systolic pressure of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.67%,which was lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion The main focus incision combined with multi-incision drainage in the treatment of complex perianal abscess has a significant effect,it can not only relieve postoperative pain and stress response,but also reduce the risk of complications,which is conducive to the recovery of anal function and is worthy of promotion.

关 键 词：主灶切开 多切口引流 复杂性肛周脓肿 疼痛程度 肛门功能 

分 类 号：R657.1[医药卫生—外科学]