Ⅰ期根治术治疗肛周脓肿的临床效果观察

Clinical effect observation of first stage radical operation in the treatment of perianal abscess

目的:观察、比较Ⅰ期根治术与单纯切开引流术治疗肛周脓肿的临床效果。方法:收治肛周脓肿患者88例,随机平分为两组,对照组采用单纯切开引流治疗,观察组采用Ⅰ期根治术治疗,比较两组手术成功率、复发率及肛瘘发生率,并采用焦虑评分量表(SAS)以及抑郁评分量表(SDS)评价治疗前后两组患者的不良情绪。结果:与对照组比较,观察组治疗成功率明显增加,复发率以及肛瘘发生率均明显降低;治疗后,两组SAS、SDS均明显改善,观察组较对照组改善更加显著,差异有统计学意义(P<0.05)。结论:与单纯切开引流术比较,Ⅰ期根治术治疗肛周脓肿可以明显提高手术成功率,减少复发,有效改善患者的不良情绪。

Objective:To observe the clinical effect of treatment of anal abscess by first stage radical operation.Methods:88patients with perianal abscess were selected.They were randomly divided into two groups.The patients in control groupwere treated with simple incision and drainage in the treatment.The observation group with first stage radical operation.Thesurgical success rate,recurrence rate and anal fistula incidence of two groups were compared.The anxiety score table(SAS)and depression scores table(SDS)were evaluated before and after treatment in two groups of patients with negative emotions.Results:Compared to the control group, success rate of the observation group increased significantly,while recurrence rate andanal fistula incidence decreased significantly.After treatment, SAS and SDS of two groups were significantly improved,and theobservation group improved more significantly than the control group(P < 0.05).Conclusion:Compared to the simple incisionand drainage,the treatment of perianal abscess can significantly improve the success rate,reduce the recurrence and improve thepatients’ bad mood.