肛裂侧切结扎缝合术后感染16例分析

Postoperative infection of 16 cases of lateral incision ligation and suture in treatment of chronic anal fi ssure

目的:探讨慢性肛裂侧切结扎缝合术后感染的临床诊治方法,以提高我院对该症的处理水平。方法:400例慢性肛裂患者行侧切结扎缝合术,术后16例患者切口周围红肿,触压痛明显,有波动感,可见有脓性或血性分泌物自切口溢出,可诊断为切口感染,立即行彻底切开引流术。结果:切口感染患者经处理均痊愈出院,其中:感染后2天内以切开引流术处理10例患者,治疗12天痊愈6例,16天痊愈4例;感染后3天以切开引流术处理6例患者,治疗14天痊愈4例,18天痊愈2例。结论:准确把握肛裂患者侧切结扎缝合术后切口感染患者的各项症状、体征,并尽早诊断及治疗,是防治病情的关键。

This study was aimed to analyze postoperative infection of lateral incision ligation and suture in treatment of anal fissure. In order to improve the treatment level of this disease in our hospital.Methods Four hundred adult with chronic anal fissure were treatmented with lateral incision ligation and suture. After operation, 16 cases of patients around the incision swelling, tenderness obviously, the wave motion, showing purulent or bloody secretions spill over from the incision. Can be diagnosed as incision infection, immediately cut and drainage.Resuts The all patients with wound infection were cured well. After infection within 2 days of incision and drainage in the treatment of 10 patients, 6 cases treatment of 12 days to heal, 4 cases 3 days after treatment for 16 days recovery. infection incision drainage treatment in 6 patients, 4 cases for 14 days of recovery, 2 cases of treatment for 18 days recovered. Conclusion Accurately grasp the incision infection in patients with the symptoms and signs, and the diagnosis and treatment as soon as laossible, is the key to orevent disease.