根治性切开挂线术治疗肛周脓肿的临床效果观察

Clinical Effect Observation of Radical and Incisive Seton Therapy in the Treatment of Perianal Abscess

目的:对根治性切开挂线与单纯引流法治疗肛周脓肿的临床效果进行对比观察。方法:选择92例肛周脓肿患者,随机分为治疗组和对照组各46例,其中治疗组采用根治性切开挂线术进行治疗,对照组采用切开引流术进行治疗,对两组患者的治疗效果进行比较。结果:治疗组患者手术时间与对照组比较,差异无统计学意义(P>0.05);但创面愈合时间、术后控制感染时间、住院时间、脓肿复发率、肛瘘发生率、一次性治愈率明显优于对照组,差异有统计学意义(P<0.05)。结论:根治性切开挂线术在肛周脓肿患者中的治疗效果显著,术后并发症少,是一种有效的治疗方式。

Objective：To observe the clinical efficacy of radical and incisive seton therapy and simple incision and drainage in the treatment of perianal abscess.Method：The 92 patients with perianal abscess were randomly divided into two groups,46 cases in each.The treatment group was treated with the radical and incisive seton therapy.The control group was treated with simple incision and drainage.The treatment effect was compared between the two groups.Result：There was no statistical difference on operation time between the two groups（P〈0.05）.The treatment group showed better healing,postoperative infection control and hospitalization time,abscess recurrence rate,anal fistula occurrence rate and one-time cure rate than the control group,with statistically significant differences（P〈0.05）.Conclusion：The radical and incisive seton therapy is very effective in treating perianal abscess patients and has less complications after operation.It is an effective treatment method.