肛周脓肿一次性根治术后配合西瓜霜换药的疗效

Analysis of clinical efficacy of one-time radical operation with watermelon frost in perianal absces

目的探讨一次性根治术配合术后西瓜霜换药治疗肛周脓肿的治疗效果。方法128例肛周脓肿患者按照随机数字表随机分为观察组和对照组，各64例。观察组患者行一次性根治术加西瓜霜换药疗法，对照组患者行一次性根治术加凡士林纱条换药疗法。比较2组治疗效果。结果本组128例患者中一次手术治愈125例，一次治愈率达97．7％。观察组愈合时间为（13．5±2．4）d，对照组为（22．6±3．2）d，2组间比较差异有统计学意义（P〈0．05）。观察组并发症总发生率[4．7％（3／64）]明显低于对照组[28．1％（18／64）]，差异有统计学意义（P〈0．05）。结论肛周脓肿术后患者使用桂林西瓜霜进行换药治疗有很好的治疗效果，患者痛苦小，创口愈合快。

Objective To evaluate the clinical effects of one-time radical operation with watermelon frost in cases with perianal absces. Methods Totally 128 patients were cured with one-time radical operation. The pa- tients＇ wound in observation group was covered with watermelon frost while conventional drugs were used in the con- trol group. Treatment effects of the two groups were compared. Results Among 128 patients, 125 patients were cured and the cure rate was 97.7%. The healing time of observation group was （ 13.5 ± 2.4） days, while the con- trol group was （22.6 ± 3.2） days. There was a significant difference between the two groups （ P 〈 0.05 ）. Drug al- lergy, eczema and bleeding were not found in two groups. Conclusion One-time radical operation with watermelon frost is effective in the treatment of perianal abscess with less pain and faster wound healing.