一期根治术治疗肛周脓肿280例疗效观察

Clinical Observation on Primary Radical Operation for 280 Cases of Perianal Abscess

为观察一期根治术治疗肛周脓肿的临床疗效，对280例肛周脓肿患者分别行脓肿一次性切开术、脓肿切开挂线术、一次性脓肿切开加高位置管引流术、一次性切开加虚线引流术治疗。结果显示，术后一期愈合277例，形成瘘管3例，治愈率98．9％。结果表明，一期根治术治疗肛周脓肿，减少了二次手术的痛苦，减轻了患者的经济负担，缩短疗程，疗效满意。

In order to observe the clinical efficacy of primary radical operation in treating perianal abscess, 280 cases underwent primary incision of abscess,incision of abscess thread-drawing,primary incision plus of abscess high drainage,primary incision plus loose thread-drawing drainage.The results showed that pri- mary healing was achieved in 277 cases,fistula formation in 3 cases,the curative rate was 98.9G.It is con- cluded that primary radical operation for perianal abscess can reduce the pain of reoperation,lower financial burden on patients, shorten the course of treatment, and has satisfactory outcome.