摘要
目的比较切开引流挂线术与单纯切开引流术治疗肛周脓肿的临床疗效。方法对2003—2011年间中国人民解放军第一四九医院手术治疗的67例肛周脓肿病例临床资料进行回顾性分析,按照手术治疗方式的不同,分成切开引流挂线组(n=40)和单纯切开引流组(n=27),比较术后疗效。结果 67例肛周脓肿病人治愈56例(83.58%)。其中切开引流挂线组治愈37例(92.50%),发生肛瘘3例(7.50%);单纯切开引流组治愈19例(70.37%),发生肛瘘8例(29.63%)。经统计学检验,两组疗效差异有统计学意义(χ~2=4.253,P<0.05)。结论采用切开引流挂线术治疗肛周脓肿较单纯切开引流术临床疗效好,肛瘘发生率低。
Objective To compare the clinical effect between incision thread-drawing and simple incision and drainage for the perianal abscess therapy.Methods A retrospective study was carried out in 67 cases of perianal abscess treated from 2003 to 2011 in our hospital,According to the different operation ways taken before,67 cases were divided into two groups:incision thread-drawing group(n=40) and simple incision and drainage group(n=27),then compared the operation effect between the two groups.Results Fifty-six cases were cured with 83.58%total cure rate and 37 cases were cured and 3 anal fistula occurred in incision thread-drawing group with 92.50%cure rate and 7.50%incidence rate of anal fistula;19 cases were cured and 8 anal fistula occurred in simple incision and drainage group with70.37%cure rate and 29.63%incidence rate of anal fistula.There were statistically significant differences on the clinical effect between the two treated groups by statistical analysis(x^2= 4.253,P<0.05).Conclusion The effect of incision thread-drawing on perianal abscess treatment is better than that of simple incision and drainage,which can lower the incidence rate of anal fistula.
出处
《中国实用外科杂志》
CSCD
北大核心
2012年第S1期15-16,共2页
Chinese Journal of Practical Surgery
关键词
肛周脓肿
切开引流挂线术
单纯切开引流术
perianal abscess
incision thread-drawing
simple incision and drainage
