改良切开引流术治疗直肠壁内脓肿

Modified Incision and Drainage for the Treatment of Abscess of Rectal Wall

目的:探讨改良切开引流术治疗直肠壁内脓肿的临床效果。方法:将32例直肠壁内脓肿患者随机分为改良切开引流术(治疗组)和传统切开引流术(对照组)治疗,每组16例,对比观察两组治愈率、创面愈合时间、肛门功能状况、术后复发以及术后并发症情况。结果:治疗组与对照组比较,治疗组治愈率高100%,(P<0·05);创面愈合时间短(17·3±2·5)d,P<0·01;但肛门功能、术后复发及术后并发症两组差异无统计学意义(P>0·05)。结论:改良切开引流术在治疗直肠壁内脓肿方面明显优于传统手术。

Objective：To evaluate the efficacy of a modified incision and drainage for the treatment of abscess of rectal wall. Methods：Thirty-two patients with abscess of rectal wall were randomly divided into two groups and received a modified incision and drainage （ n = 16） or incision and drainage （ n = 16） respectively. The curative rate, healing time of incision, anal function, postoperative recurrence and postoperative complications were observed and compared between the two groups. Results：Compared with incision and drainage group, modified incision and drainage group had a higher curative rate （100%） and short healing time of incision （ 17.3 ± 2.5d） （ P〈0.05 ）. There was no difference in anal function, postoperative recurrence and postoperative complications between the two groups. Conclusion： Modified incision and drainage is a more safe and effective procedure than the traditional incision and drainage for abscess of rectal wall.