一期根治术治疗肛门直肠周围脓肿临床观察(附46例报告)

Observation of Therapeutic Effect of Primary Curative Incision in the Treatment of Perianal Abscesses: An Analysis of 48 Cases

目的:探讨一期根治术治疗肛门直肠周围脓肿的疗效。方法:对80例肛门直肠周围脓肿患者随机分为两组,分别行一期根治术(治疗组,48例)和单纯脓肿切开引流术(对照组,32例),比较术后疗效。结果:治疗组和对照组术后愈合时间分别为28d和41d,肛瘘的发生率分别为2.08%和84.38%,1年复发率分别为4.17%和25%,两组差异有统计学意义。结论:一期根治术治疗肛门直肠周围脓肿疗效好,肛瘘的发生率和1年内复发率低,值得临床推广应用。

Objective：To assess the therapeutic effect of primary curative incision in the treatment of perianal abscesses. Methods：Eighty patients with perianal abscesses were randomly divided into two groups： 48 cases received primary curative incision （group CI） and 32 cases received incision and drainage （group ID）. Results：Wound healing duration was 28 days in group CI and 41 days in group ID. The occurrence rates of anal fistula were 2.08% and 84.38%, and the one-year recurrence rates were 4.17% and 25%, respectively. Conclusion：The primary curative incision in the treatment of perianal abscesses has better curative effect, with lower recurrence rates and lower incidence of anal fistula.