多点挂浮线引流术治疗肛周脓肿的疗效

Treatment of perianal abscess in young soldiers by multiple incisions and floating thread drainage

目的观察多点挂浮线引流术治疗肛周脓肿的临床疗效。方法将48例确诊的肛周脓肿患者随机分为治疗Ⅰ组、治疗Ⅱ组和对照组(每组16例),治疗Ⅰ组、治疗Ⅱ组均采用放射状多点挂浮线引流术(治疗Ⅱ组换药时采用湿润烧伤膏纱条),对照组采用传统肛周脓肿切开引流术。结果治疗Ⅰ组、治疗Ⅱ组术后创面愈合时间分别为(24.5±5.7)d、(23.6±7.3)d,对照组术后创面愈合时间(28.5±5.1)d,治疗Ⅰ、Ⅱ组明显短于对照组(P<0.05);但治愈率及术后复发率方面,3组之间比较,差异无统计学意义。结论多点挂浮线引流术治疗肛周脓肿疗效显著。

Objective To study the clinical effect of multiple incisions and floating thread drainage on perianal abscess in young soldiers. Methods Forty-eight patients were randomly divided into treatment group I , treatment group II and control group （ 16 per group）. The patients in the treatment group I and treatment group II received multiple incisions and floating thread drainage （treat- ment group II dressed with moist burn cream gauze strip）. The patients in the control group received traditional incision drainage. Results The postoperative healing time of incision in treatment group I （ 24.5 ± 5.7 ） d and treatment group II （ 23.6± 7.3 ） d were shortened as compared with that in the control group （28.5 ± 5.1 ） d （P 〈 0. 05 ）. But there was no significant difference in the cure rate and postoperative recurrence rate between the three groups. Conclusions Multiple incisions and floating thread drainage have a significant curative effect on treatment of perianal abscess in young soldiers.