切开根治术与单纯引流手术治疗肛周脓肿的效果比较

Comparison of curative effect between incision radical resection and simple drainage surgery for the treatment of perianal abscess

目的观察切开根治术与单纯引流手术治疗肛周脓肿的临床效果。方法 88例肛周脓肿患者,按照手术方法不同分为切开根治组与单纯引流组,各44例。单纯引流组患者给予单纯引流术治疗,切开根治组患者给予切开根治术治疗,比较两组患者治疗效果。结果治疗2周后,切开根治组患者总有效率为97.7%,显著高于单纯引流组的86.4%,差异具有统计学意义(P<0.05)。切开根治组患者术后首次下地活动时间、住院时间明显短于单纯引流组,术后2 h视觉模拟评分法(VAS)评分明显低于单纯引流组,差异具有统计学意义(P<0.05)。结论肛周脓肿切开根治术治疗效果明显优于单纯引流术。

Objective To observe the clinical effect between incision radical resection and simple drainage surgery for the treatment of perianal abscess. Methods A total of 88 patients with perianal abscess were divided into incision radical resection group and simple drainage group according to different operative methods, 44 cases in each group. The simple drainage group was treated with simple drainage surgery, the incision radical resection group was treated with incision radical resection. The treatment effects of the two groups were compared. Results After 2 weeks of treatment, the total effective rate of the incision radical resection group was 97.7%, which was significantly higher than 86.4% in the simple drainage group, the difference was statistically significant（P0.05）. The postoperative first floor activity time and length of stay in the incision radical resection group were significantly shorter than those in the simple drainage group, the postoperative 2 hours visual analogue scale（VAS） score of the incision radical resection group was significantly lower than that of the simple drainage group, the differences were statistically significant（P0.05）. Conclusion The curative effect of incision radical resection for perianal abscess is obviously better than simple drainage surgery.