高位置管加对口引流治疗多间隙肛周脓肿的临床疗效研究

Clinical study on the efficacy of high position tube combined with counterpart drainage in the treatment of patients with multiple perianal abscess

目的:探讨高位置管联合对口引流对多间隙肛周脓肿进行治疗的临床疗效。方法:将40例多间隙肛周脓肿患者随机平分两组,治疗组采取Ⅰ期高位脓肿腔顶或内口置管加多切口对口引流术;对照组先切开引流,2周左右行Ⅱ期低位切开高位挂线术。结果:治疗组无失禁和肛门严重变形并发症发生,肛门功能正常,1次治愈19例,复发1例;对照组1次治愈17例,复发2例,成瘘1例。在疗程、术后并发症、肛门形态、功能方面比较,两组差异有统计学意义(P<0.05)。结论:本术式可达到Ⅰ期治愈的目的,安全有效、科学合理,可使肛门正常形态及功能得到维护,并可避免上方黏膜因过早紧使受牵拉而下移,影响创口引流及延期愈合的不良状况。

Objective:To investigate the efficacy of high position tube combined with counterpart drainage in the treatment ofpatients with multiple perianal abscess.Methods:40patients with multiple perianal abscess were randomly divided into two groups.The treatment group was taken stageⅠhigh abscess cavity top or the mouth of the catheter plus multiple incision mouth drainage.The control group was treated with incision and drainage,and the second stage of low incision and high hanging line wasperformed in two weeks.Results:In the treatment group,19cases were cured,and the recurrence occurred in1case.noincontinence and severe anal deformation occurred.The control group was cured in17cases,recurrence in2cases,fistula in1case.There were significant differences between groups in the postoperative complications,anal morphology,function,treatment(P<0.05).Conclusion:This method is safe,effective,scientific and reasonable.It can achieve the purpose of healing phaseⅠandmaintain the normal shape and function of the anus,to avoid premature tight lines so that the top of the mucosa due to pull down,affect the wound drainage and delayed healing of the bad situation.