切开挂线术与切开引流术治疗肛周脓肿的疗效比较

目的比较切开引流术与切开挂线术治疗肛周脓肿的疗效。方法选择2015年1月至2016年12月肛周脓肿患者90例，分为观察组和对照组，观察组采用切开挂线术治疗，对照组给予切开引流术治疗，比较两组临床治疗效果。结果观察组手术时间、住院时间及创面愈合时间与对照组比较，差异有统计学意义（P〈0．05）。观察组治疗总有效率93．33％，对照组有效率73．33％，差异有统计学意义（P〈0．05）。观察组肛瘘形成率4．44％，显著低于对照组20．0％（P〈0．05）。观察组与对照组脓肿复发率分别6．67％和24．44％，差异有统计学意义（P〈0．05）。结论切开挂线术治疗肛周脓肿，能够有效促进患者恢复，提高手术效果，减少肛瘘形成和疾病复发，具有重要应用价值。

Objective To analyze the application effect of incision incision and drainage and thread drawing therapy in patients with perianal abscess. Methods 90 cases with perianal abscess from January 2015 to December 2016 in our hospital were divided into study group and control group, study group were treated with incision and thread treatment, given the incision and drainage for the treatment of control group, the two groups of clinical curative effect were compared. Results The operation time, hospitalization time and wound healing time compared with the control group, there were significant differences （P〈0.05） . The treatment group total effective rate was 93.33%, the control group was 73.33%, P〈0.05, the difference was statistically significant. The study group anal fistula formation rate was 4.44%, significantly lower than 20% in the control group （ P〈0.05 ） . The study group and control group abscess recurrence rate were 6.67% and 24.44%, the difference was statistically significant （ P〈0.05 ） . Conclusion The application of incision line operation in patients with perianal abscess that can effectively promote the recovery of patients, improve the effect of surgery, reduce anal fistula formation and recurrence of the disease, which has important application value.