不同方法治疗肛周脓肿500例对比分析

Clinical analysis on patients with perianal abscess treated by using different surgical methods

目的:探讨肛周脓肿的最佳治疗方法。方法:对500例肛周脓肿患者采用不同手术方法进行治疗,其中一期切开术372例,一期切开挂线术54例,不全切开加对口引流术31例,单纯切开引流术43例。并观察不同手术方法的临床效果。结果:随访2个月至3年,一次性愈合426例,形成肛瘘74例,愈合时间28~180d,平均35d,无肛门失禁、肛门畸形出现。结论:根据肛周脓肿的类型,选择不同手术方法能够减轻病人痛苦,缩短伤口愈合时间,减少后遗症的发生。

Objective： To discuss an more effective approach in the treatment of perianal abscess.Methods： The retrospective analysis was preformed in 500 patients with perianal abscess.372 patients were treated by primary curative incision,54 treated by incision and superior position thread-drawing,31 treated by incomplete incision plus contradrainage,43 treated with simple incision and drainage.Results： The patients were followed-up for 2 months to 3 years,426 cases were healed,74 cases were formed anal fistula,healing time 28d^180d,an average of 35d.No patient was found to be with anal incontinence or anal abnormalities.Conclusion： Based on the type of perianal abscess,choosing a different surgical method can reduce patient pain and shorter wound healing time and reduce the incidence of complications.