一期根治术结合中药熏洗坐浴治疗肛周脓肿195例

Treating 195 Cases of Perianal Abscess by One-phase Radical Correction, Herbal Fumigation and Hip Bath

目的:观察一期根治术结合中药熏洗坐浴治疗肛门周围脓肿的临床疗效。方法:将371例患者随机分为2组。对照组176例,行一期根治术,术后常规紧线及换药治疗;观察组195例,在对照组治疗的基础上给予中药熏洗坐浴治疗,2组出院后均随访2年以上。结果:总有效率对照组为83.5%,观察组为96.9%,治疗组疗效优于对照组(P<0.05)。复发率对照组为11.36%,观察组为2.05%,2组比较差异有统计学意义(P<0.05)。坠胀疼痛、水肿、创口渗液、排尿不畅等并发症消失时间及创口愈合时间观察组均小于对照组(P<0.05)。结论:一期根治术结合中药熏洗坐浴治疗肛周脓肿疗效优于单纯手术治疗。治疗前显著改善(P<0.05),观察组改善更明显(P<0.05)。结论:四步推拿手法治疗肩周炎疗效优于封闭疗法。

Objective：To observe clinical effects of one-phase radical correction, herbal fumigation and hip bath in treating perianal abscess. Methods： All 371 patients were randomly divided into two groups. 176 cases of the control group were treated with one-phase radical correction, conventional stringing after the operation and changing the dressings; 195 cases of the observation group received herbal fumigation and hip bath, both groups were followed for more than two years when they were discharged. Results： Total effective rate of the control group was 83.5%, lower than 96.9% of the observation group, the observation group was superior to the control group in clinical effects（P〈0.05）. Relapse rate of the control group was 11.36%, higher than 2.05% of the observation group, the difference showed statistical meaning（P〈0.05）. The observation group was less than the control group in the disappearing time of the complications such as abdominal distension and pain, edema, wound exudation, urination difficulty and wound healing time（P〈0.05）. Conclusion： One-phase radical correction, herbal fumigation and hip bath are superior to only operation in treating perianal abscess.