一期根治术治疗婴幼儿肛周脓肿的疗效观察

Effect Observation on Infantile Perianal Abscess Treated with Primary Radical Procedure

为探讨一期根治术治疗婴幼儿肛周脓肿的临床疗效,将100例肛周脓肿婴幼儿随机分为观察组和对照组,每组各50例。观察组采用一期根治术治疗,对照组采用单纯切开引流术治疗,对比2组患者治愈率、总有效率、肛门疼痛、手术时间及创面愈合时间等情况。结果显示,观察组治愈率、总有效率均明显高于对照组(P<0.05);观察组治疗后肛门疼痛评分明显低于对照组(P<0.05);观察组手术时间及创面愈合时间均明显短于对照组(P<0.05);治疗后6个月,观察组无复发,对照组复发率为48%,2组比较差异有统计学意义(P<0.05)。结果表明,一期根治术治疗婴幼儿肛周脓肿具有治愈率高,术后疼痛轻,复发率低等优点。

This study was to explore the clinical effect of perianal abscess treated with primary radical pro- cedure,randomly divided 100 cases of infantile perianal abscess（IPA） into observation group and control one, 50 cases for each, which the former received primary radical procedure, the latter received alone inci- sion ＆ drainage; then compared curative rate, total effective rate, pain of anus, operative time and wound- surface healing time,etc,between the two groups.As results,in curative rate and total effective rate,in the score on postoperative pain of anus, and in operative time and wound-surface healing time the former was significantly respectively higher,lower and shorter than the latter （all, P〈0.05）;also,in recurrence status at 6 months after surgery there was statistical difference between the former and the latter（0 vs 48%, P 0.05）.Results show that primary radical procedure for IPA has such merits as high curative rate,mild post- operative pain of anus,and low recurrence rate,etc.