一期手术与分期手术治疗肛周脓肿的疗效比较

Therapeutic Efficacy Comparison of Primary Operation and Staged Operation in the Treatment of Perianal Abscess

为比较一期手术与分期手术治疗肛周脓肿的临床疗效，回顾2010年1月至2012年1月于我院行一期根治术治疗（47例，观察组）及分期手术即先行单纯脓肿切开引流术，待形成肛瘘后再行二期手术治疗（30例，对照组）的肛周脓肿患者资料，对比分析两组患者在创面愈合时间、住院时间、住院费用、术后复发率及肛瘘发生率方面的差异。结果显示，两组创面愈合时间差异无统计学意义。P〉0．05。但观察组住院时间明显短于对照组，P〈0．01；住院费用明显少于对照组，P〈0．01；术后随访10～18个月，脓肿复发及肛瘘发生率明显低于对照组，P〈0．01。结果表明，与分期手术相比，一期手术治疗肛周脓肿治愈率更高，疗程更短，住院费用更少，更具有优越性。

The objective of this study was to compared the clinical effects o{ primary operation and staged operation in the treatment of perianal abscess. Authors retrospectively analyzed the data of 77 cases with perianal abscess admitted in author＇s hospital from Jan. 2010 yr. to Jan. 2012 yr. among whom 47 cases（as observation group） received primary radical operation, another 30 cases（as control group） firstly received alone incision ＆ drainage for abscess, waiting anal fistula formed, again secondary operation; in this study authors analyzed and compared the wound surface healing time, hospital stay, hospitalization cost, postoper- ative recurrence rate and incidence of anal fistula in both groups. As results, in wound surface healing time there was no statistical difference between both groups （ P 〉 0.05）;but in hospital stay, hospitalization cost,and abscess recurrence and anal fistula incidence found within the follow-up of 10-18 months after op- eration observation group was shorter,less and lower than conotrl group（ P 〈0.01,at all） respectively. Results show that primary operation is of higher curative rate,shorter treatment course and less hospitali- zation cost,which is more superior to staged operation.