摘要
目的观察开窗置管引流联合挂线术治疗肛周脓肿的效果。方法选取102例肛周脓肿患者,随机分为观察组与对照组,每组各51例。观察组采取开窗置管引流联合挂线术,对照组采取传统切开引流术。比较两组伤口愈合时间、瘢痕面积,术后24 h、首次排便时与首次换药时的VAS疼痛评分,出院时的肛门指诊评分、肛门形态评分、肛门失禁评分、治疗总有效率、并发症总发生率。结果观察组伤口愈合时间、瘢痕面积、术后24 h与首次换药时的疼痛VAS评分,出院时的肛门指诊评分、肛门形态评分、肛门失禁评分均优于对照组(P<0.05)。观察组总有效率为94.12%,高于对照组的78.43%(P<0.05)。观察组肛瘘发生率与并发症总发生率分别为1.96%、9.80%,均低于对照组(P<0.05)。结论开窗置管引流联合挂线术治疗肛周脓肿可有效缩短创口愈合时间、减小瘢痕面积,减轻术后疼痛及对肛门功能的影响,术后肛瘘发生风险低,值得临床推广应用。
Objective To observe the clinical effect of catheter drainage combined with thread-drawing in the treatment of perianal abscess. Methods A total of 102 patients with perianal abscess were selected and randomly divided into the observation group and the control group, with 51 cases in each group. The observation group was treated with catheter drainage combined with thread-drawing,and the control group was treated with the traditional incision and drainage.The wound healing time, scar area, the VAS score（24 h after surgery, the first defecation and the first dressing）, the anorectal score, anal morphology score, anal incontinence score when discharged, the total effective rate of treatment, the total incidence of complications were compared between the two groups. Results The wound healing time, scar area, the VAS pain score（24 h after surgery and the first dressing, the anorectal score）, anal morphology score, anal incontinence score when discharged were significantly lower than the control group（P 〈 0.05）. The total effective rate of treatment was 94.12% in the observation group, which was higher than the control group（78.43%, P 〈 0.05）.The incidence of anal fistula and the total incidence were 1.96% and 9.80%, which were lower than those of the control group（P 〈 0.05）. Conclusion Catheter drainage combined with thread-drawing in the treatment of perianal abscess can effectively shorten the wound healing time, reduce the scar area, and releieve the postoperative pain,as well as promote the anal function, and has low postoperative anal fistula risk. It is worthy of clinical application.
作者
罗臣
Luo Chen.(Emergency Department, Neijiang Second People＇s Hospital, Neijiang, Sichuan, 641000, China)
出处
《结直肠肛门外科》
2017年第4期504-507,共4页
Journal of Colorectal & Anal Surgery
关键词
肛周脓肿
开窗置管引流
挂线术
肛瘘
perianal abscess, catheter drainage, thread-drawing, anal fistula
