摘要
目的:比较低位开窗旷置术和低位切开高位挂线术治疗高位肛周脓肿的疗效差异。方法:选取2015年1月-2016年1月于本院就诊需行手术治疗的62例高位肛周脓肿患者,采用随机数字表法分为低位开窗旷置组(简称旷置组)和低位切开高位挂线组(简称挂线组),每组31例。两组患者分别采用低位开窗旷置术和低位切开高位挂线术治疗高位肛周脓肿,术后随访12个月。比较两组临床治疗效果、术后疼痛评分(VAS)、创面愈合时间和相关并发症(如脓肿复发率、肛瘘形成率以及肛门失禁等)。结果:旷置组和挂线组的治愈率分别为83.87%(26/31)和80.65%(25/31),术后1个月并发症发生率分别为25.81%(8/31)和22.58%(7/31),差异均无统计学意义(P>0.05);挂线组的脓肿复发率、肛瘘形成率均低于旷置组,旷置组的术后疼痛评分(VAS)、创面愈合时间和肛门失禁发生率显著低于挂线组,差异均有统计学意义(P<0.05)。结论:低位开窗旷置术和低位切开高位挂线术治疗高位肛周脓肿的总体疗效相似,低位开窗旷置术在缩短愈合时间、减轻术后疼痛和保留肛门功能等方面具有优势,而低位切开高位挂线术则能降低的肛周脓肿复发率和肛瘘发生率。
Objective： To compare the curative effects between low-incision exclusion therapy and low-incision high-seton therapy on patients with high perianal abscess.Method： From January 2015 to January 2016, 62 patients in our hospital with high perianal abscess were randomly divided into low-incision therapy group （ short for exclusion group ） and low-incision high-seton therapy group （ short for seton group ） according to the random number table method, 31 cases in each group.Exclusion group treated with low-incision exclusion therapy and seton group treated with low-incision high-seton therapy.The clinical curative effects, mean healing times, pain scores （ Visual Analogue Score, VAS ） and complications occurrence （ such as abscess recurrence, anal fistula and fecal incontinence ）of two groups were comparatively analyzed.Result： The clinical curative effects rate of exclusion group and seton group was 83.87% and 80.65% respectively, the complication occurrence rate of exclusion group and seton group were 25.81% and 22.58% respectively, there were no significant differences （ P〉0.05 ） .The abscess recurrence rate and postoperative fistula occurrence rate of seton group were much lower than those of the exclusion group, the differences were statistically significant （ P〈0.05 ）, the mean healing time, pain scores and the fecal incontinence occurrence rate of exclusion group were lower than those of seton group, the differences were statistically significant （P〈0.05） .Conclusion： The curative effects of low-incision exclusion therapy and low-incision high-seton therapy are similar, low incision exclusion therapy has benefits in healing time, postoperative pain and anal function, while low-incision high-seton therapy has a lower rate of abscess recurrence and postoperative fistula.
出处
《中国医学创新》
CAS
2017年第17期136-139,共4页
Medical Innovation of China
关键词
低位开窗旷置术
低位切开高位挂线术
肛周脓肿
肛瘘
Low-incision exclusion therapy
Low-incision high-seton therapy
Perianal abscess
Anal fistula
