改良式主灶切开对口引流术治疗蹄铁型肛周脓肿的疗效观察

Improved Procedure of Main-lesion Incision ＆ Counter Drainage in the Treatment of Horseshoes-shaped Perianal Abscess

观察和评价改良式主灶切开对口引流术治疗蹄铁型肛周脓肿的l临床疗效，将93例蹄铁型肛周脓肿患者分为观察组（53例）和对照组（40例），观察组采用改良式主灶切开与次灶对口引流术治疗，对照组采用主灶切开引流术治疗。对患者定期进行门诊和电话随访。结果显示，两组总复发率比较差异无统计学意义，观察组近期复发率（6个月以内）明显低于对照组，创口愈合时间比对照组短，术后换药疼痛程度较对照组轻，两组肛门功能Wexner评分比较差异无统计学意义，但术后评分呈下降趋势。两组均未出现肛门狭窄、肛门畸形等并发症。结果表明．改良式主灶切开对口引流术治疗蹄铁型肛周脓肿患者有良好的效果，能减轻患者术后换药时的疼痛，缩短愈合时间，降低近期复发率。

This study was to observe the clinical effect of a improve procedure （main-lesion incision counterdrainage） in the treatment of horseshoes-shaped perianal abscess.The 93 patients with this abscess were divided into observation group（53 cases） and control one （40 cases）;the former received above im- proved procedure, while control group received main-lesion incision drainage; then, the patients of both groups were followed-up by Tel. or clinic.As results,in total recurrence rate there was no statistical differ- ence;but in short-term recurrence rate （within 6 months） observation group,in the time for wound healing and in pain degree during postoperative dressing exchange was significantly lower,shorter and lighter than control one;in Wexner score ratings about anal function there was no statistical difference except being re- duced trend after surgery;in both groups no stenosis and deformity of anus were found.Results show that this improved procedure has better effect, can relieve the pain of patients during postoperative dressing ex- change, shorten healing time,and reduce short-term recurrence rate.