一次性切开挂线法治疗肛周脓肿73例临床分析

Clinical Observation of the Therapeutic Efficacy of Primary Incision and Thread-drawing in the Treatment of Perianal Abscess：Analysis of 73 Cases

为评价一次性切开挂线法及加用康复新液换药治疗肛周脓肿的临床应用价值，回顾性分析73例采用一次性切开挂线法治疗肛周脓肿的临床资料。结果显示，一次性手术治愈69例，治愈率94．5％。后遗肛瘘4例，占5．5％，其中3例在外院换药。疗程18-41d，平均23．6d。无肛门失禁、肛门畸形等。结果表明，一次性切开法治疗肛周脓肿，疗效好，后遗症与并发症少。

The clinical data of 73 patients with perianal abscess who underwent primary incision, threaddrawing plus dressing change with ＂KangFuXin＂ solution were analized retrospectively. As results, of the 73 cases,69 were cured primarily（94.5%） ,sequelar anal fistula occurred in 4 cases（5.5%） ,the mean treatment course was 23.6 days（range 18-41 days）, and no fecal incontinence or anal deformity occurred. It is concluded that the surgical procedure of primary incision is optimal in the treatment of perianal abscess.