摘要
目的:评价括约肌间入路内口挂线加脓腔对口引流术在马蹄形肛周脓肿治疗中的安全性和有效性.方法:回顾性分析2014-01/2014-12南京中医药大学第三附属医院全国肛肠医疗中心九病区24例行括约肌间入路内口挂线加脓腔对口引流术的肛周脓肿患者的临床资料.以临床痊愈及随访后是否复发、平均住院时间、术后平均恢复工作时间、平均住院费用、Wexner肛门失禁评分为评价指标.结果:本组患者平均年龄38.42岁±9.59岁,平均随访10.08 mo±3.32 mo,17例(70.83%)痊愈,7例(29.17%)形成肛瘘.7例成瘘患者中,2例经结核效应T细胞斑点检测确诊为结核病,转外院行抗结核治疗,随访9 mo,1例痊愈,1例好转;其余5例经二期手术后4例痊愈,1例未愈.结论:括约肌间入路内口挂线加脓腔对口引流术具有安全性好、损伤小、恢复时间短、手术相关费用低、可重复性好等优点,具有良好的安全性及有效性,可较好地应用于马蹄形肛周脓肿.
AIM：To evaluate the safety and efficacy of intersphincteric incision with seton at the inner opening plus contra-aperture drainage through the abscess cavity for the treatment of horseshoe perianal abscess.METHODS：Clinical data for 24 patients with horseshoe perianal abscess who underwent intersphincteric incision with seton at the inner opening plus contra-aperture drainage through the abscess cavity from January 2014 to December 2014 at the National Medical Center for Anorectal Diseases,Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine were retrospectively.Clinical recovery,recurrence during following-up,mean hospital stay time,mean time required for patients to return to work,mean cost of hospitalization,and Wexner incontinence score were evaluated.RESULTS：The mean age of the patients was38.42 years ± 9.59 years.During the mean follow-up period of 10.08 mo ＋ 3.32 mo,17（70.83%） cases were cured,and 7（29.17%）developed anal fistula.Two of 7 cases of fistula were diagnosed as tuberculosis by T-Spot and underwent anti-TB treatment;one was cured,and one improved at 9 mo of follow-up.Four of the other 5 cases were cured,but one unhealed.CONCLUSION：Intersphincteric incision with seton at the inner opening plus contra-aperture drainage through the abscess cavity has good security,less damage,short recovery time,low hospitalization costs,and good reproducibility in the management of horseshoe perianal abscess.
出处
《世界华人消化杂志》
CAS
2016年第7期1128-1133,共6页
World Chinese Journal of Digestology
基金
江苏省人社厅"六大人才高峰"第十二批高层次人才选拔培养基金资助项目
No.2015-WSW-069
2015年度江苏省第四期"333工程"科研基金资助项目~~
关键词
括约肌间切开
内口挂线
对口引流
马蹄形肛周脓肿
疗效及安全性
Intersphincteric incision
Seton at the inner open
Contra-aperture drainage
Horseshoe perianal abscess
Safety and effi cacy
