皮肤切除术合苦参汤坐浴治疗慢性肛门湿疹的临床观察

Clinical study of surgical treatment combined with external washout with traditional Chinese herbs in the treatment of chronic perianal eczema

目的观察肛周病变皮肤切除术配合苦参汤坐浴治疗慢性肛门湿疹的疗效。方法 60例慢性肛门湿疹患者随机分为治疗组30例和对照组30例。治疗组采用肛周病变皮肤切除术配合苦参汤坐浴治疗;对照组采用复方曲安奈德益康唑乳膏(派瑞松)外涂,两组均以15d为1个疗程。结果治疗组治愈率及复发率分别为90.0%和13.3%;对照组有效率及复发率分别为73.3%和53.3%,两组比较,差异有统计学意义(P<0.05),治疗组明显优于对照组。结论肛周病变皮肤切除术配合苦参汤坐浴治疗慢性肛门湿疹疗效满意,值得临床推广。

Objective To evaluate the clinical effects of surgical treatment combined with external washout with traditional Chinese herbs in the treatment of chronic perianal eczema. Methods A total of 60 cases of chronic perianal eczema were divided randomly into the treatment group （ n ：30） and the control group （ n ： 30 ）. The treatment group was treated by surgical treatment combined with external washout with traditional Chinese herbs, and the control group was treated with external use of Triamcinolone Acetonide and Econazole Nitrate cream （Perry loose ointment）. The The improvement rate and the recurrence rate was 90. 0 tr eatment period was half of a month. Results and 13. 3%0, respectively, in the treatment group, and 73.3% and 53.3%, respectively, in the control group（ P 〈0.05）. The treatment group experienced significantly greater improvement than the control group（ P 〈0.01 }. Conclusion Surgical treatment combined with external washout with traditional Chinese herbs is an effective method for chronic perianal eczema, and can be widely used clinically.