挂线疗法治疗直肠肛管周围脓肿40例分析

Experience of the secton division treatment for perianorectal abscess

目的探讨挂线疗法治疗直肠肛管周围脓肿的疗效及安全性。方法采用回顾性分析对照临床试验方法,将86例直肠肛管周围脓肿患者按当时治疗方法分为两组,治疗组41例,采用挂线疗法治疗直肠肛管周围脓肿;对照组45例,采用单纯脓肿切开引流术治疗直肠肛管周围脓肿,比较两组疗效及复发情况。结果治疗组35例一次性治愈,一次性治愈率85.37%,有4例复发,有2例形成肛瘘,需二次行肛瘘手术。对照组9例一次性治愈,一次性治愈率20.00%,有17例复发,19例形成肛瘘,需二次行肛瘘手术。结论该术式能一次性治愈直肠肛管周围脓肿,具有操作简便,易于掌握,疗效好,疗程短,痛苦少等优点,是目前治疗高位脓肿较理想的方法。

Objective To evaluate the efficiency and safety of the secton division treatment for perianorectal abscess.Methods With prospective randomized comparative clinical methods,86 cases were randomly divided into two groups.In treatment group,41 cases were given the secton division treatment,and the remaining 45 received abscess incision and drainage as control group.Results 35 cases one-time cured in treatment group,the one-time cure rate was 85.37%.4 cases in the treatment group relapsed.2 cases got anal fistula,which required a secondary operation.9 cases one-time cured in contrd group,the one-time cure rate was 20.00%.17 cases of them relapsed.19 cases got anal fistula,which were suffered from a secondary operation.Conclusion The secton division treatment is a better treatment for perianorectal abscess.The treatment is more effective,easier to manage and has less pain,shorter medical course.It is an ideal treatment for high perianorectal abscess.