摘要
目的探讨一次切开术结合HGH溶解止血纱布(以下称止血纱布)在治疗肛周脓肿中的疗效。方法自肛缘沿脓肿顶部两侧呈放射状梭形切开脓肿,寻找内口并切开,清理脓腔,止血纱布填塞脓腔,术后抗菌素应用,每日便后清洗换药,重新填塞止血纱布至痊愈。结果30例患者均治疗一次痊愈。结论一次切开术结合止血纱布治疗肛周脓肿具有疼痛轻,创面生长快,并发症少,病程短等特点;在本组病例中患者无明显疼痛、创面渗液少、脓腔生长快、无1例术后出血、无1例瘢痕挛缩、无1例肛门狭窄及失禁;术后随访1年,无1例复发。
Probe into the medical ef ect of single incision with HGH gauze in treating perianal abscess.Methods Start incision from the top of abscess,search for a inside access and cut,clean the abscess,pack HGH gauze,use antibiotic after operation,clean the incision and reuse of antibiotic after daily excretion,repack HGH gauze til completely cured.Results Al 30 patients were completely cured by only single treatment.Conclusion The single incision with HGH gauze in treating perianal abscess has following advantages:less pain,less liquid excretion and quick recovery of operation surface.There is no case showing cicatricial contracture,anus stenosis and incontinence of feces.And there is no case of relapse during postoperative fol ow-up for 1 year.
作者
苗为民
MIAO Wei-min(Department of General Surgery,Shanghai Hudong Hospital,Shanghai 200129,China)
