一期根治术治疗肛周脓肿98例临床分析

Primary Radical Procedure for Perianal Abscess of 98 Cases：A Clinical Analysis

为探讨一期根治术治疗肛周脓肿的临床效果，对98例肛周脓肿行一期根治术，在切开脓肿同时切开内口，必要时挂线处理，术后给予抗感染、换药、坐浴。结果显示，98例中治愈93例，治愈率95％，创面愈合时间平均23d。未发生肛门失禁、漏气、漏便、肛门狭窄及肛门畸形，无肛瘘发生和其他后遗症。结果表明，一次性根治术治疗肛周脓肿较单纯性切开引流术，能明显降低术后脓肿的复发率和肛瘘的形成，缩短了疗程，降低了再手术的几率，并且无后遗症发生。

For exploring the clinical effect of primary radical procedure for perianal abscess authors performed this procedure for the 98 cases,i, e at same time of incision of abscess, to incise inner-opening;if necessary to take theread-drawing;after operation to give anti-infection management, dressing change, sitz both, and so on. As results, 93 cases were cured,curative rate was 95% （93/98）;their average healing time was 23 days;no sequelae such as anal incontinence, anal stenosis, deformation of auns, anal fistula, and so on. These indicate that the compared with alone incision ＆ drainage primary radical procedure for perianal abscess can significantly reduce recurrence rate and formation of anal fistula, shorten treatment course,decrease the probability of reoperation,and no any sequelae was found.