婴幼儿肛周脓肿3种手术方法疗效比较

Comparison on the Therapeutic Effects of Three Procedures for Perianal Abscess in Infants

为探讨婴幼儿肛周脓肿的最佳治疗方法．将63例肛周脓肿婴幼儿分成3组，分别采取脓肿局部切开引流、脓肿扩大切开引流和脓肿切开挂线治疗，对治疗后的肛瘘发生率、创口愈合时间及直肠肛管测压结果进行比较。结果显示，脓肿扩大切开组、切开挂线组的肛瘘发生率明显低于局部切开组（P〈0．05）。3组创口愈合时间、手术前和手术后1个月的肛管静息压差异无统计学意义（P〉0．05）。术后3d肛管静息压，局部切开组、切开挂线组明显低于扩大切开组（P〈0．05）。结果表明，一次性行扩大切开引流术或切开挂线引流术是治疗婴幼儿肛周脓肿最适宜的方法。

For the objective of exploring the best therapy for perianal abscess in infants,authors divided 64 infants with this disease into three groups, who received local incision drainage, enlarging incision drainage, or incision thread-drawing for abscess respectively; then postoperative fistula incidence, healing time of wound,and manometry results of recto-anus were recorded and compared each other. As results,the fistula incidence of the latter two groups was significantly lower than that of the first group（ P 〈0.05） ;while,in the healing time of wound among three groups there was no significant difference（ P 〉0.05） ,in anal rest pressure of three groups there also was no statistical difference between pre-and post-operative data（ P〉0.05） ;but later 3 day after operation the anal rest pressure of the first and the third group was distinctly lower than that of the second group（ P 〈0.05）. Above results show that primary enlarging incision drainage,or incision thread-drawing drainage is optimum therapy for perianal abscess in infants.