一次性切开挂线根治术治疗肛周脓肿的效果

The Effect of One-time Incision and Thread-drawing Radical Mastectomy in the Treatment of Perianal Abscess

目的对肛周脓肿患者采用一次性切开挂线根治术治疗的效果进行探究。方法方便选取2018年7月—2020年6月该院收治的肛周脓肿患者106例纳入该次研究。通过随机数字表法对研究对象予以分组处理,其中甲组53例,乙组53例。甲组患者接受脓肿切开引流术治疗,乙组患者接受一次性切开挂线根治术治疗。比较两组的治疗效果。结果乙组的总有效率为96.2%,高于甲组的81.1%,差异有统计学意义(χ^(2)=6.104,P<0.05);乙组的术后感染控制时间(3.5±0.8)d、创面愈合时间(18.2±2.5)d均明显少于甲组的术后感染控制时间(5.7±1.2)d、创面愈合时间(27.8±3.1)d,差异有统计学意义(t=11.105、17.549,P<0.05);甲组的术后疼痛率为79.2%,乙组的术后疼痛率为56.6%,乙组的术后疼痛发生率明显低于甲组,差异有统计学意义(χ^(2)=6.235,P<0.05);治疗前,两组的白介素6、白介素10、肿瘤坏死因子α等指标相比,差异无统计学意义(P>0.05);治疗后,乙组的白介素6、白介素10、肿瘤坏死因子α等指标明显优于甲组,差异有统计学意义(t=18.802、6.099、13.005,P<0.05);乙组的并发症发生率为1.9%,明显低于甲组的15.1%,差异有统计学意义(χ^(2)=4.371,P<0.05)。结论在肛周脓肿患者的临床治疗中,采用一次性切开挂线根治术治疗效果确切,可以促进患者的术后康复,降低患者的术后疼痛,有效抑制其炎性因子,减少其并发症发生率。

Objective To explore the effect of one-time incision and thread-drawing radical mastectomy in patients with perianal abscess.Methods Convenient select 106 patients with perianal abscess admitted to the hospital were selected for this study,and the selection period was from July 2018 to June 2020.The subjects were divided into groups by random number table method,including 53 cases in group A and 53 cases in group B.Patients in group A received incision and drainage of abscess,and patients in group B received a one-time incision and thread-drawing radical mastectomy.Compare the treatment effects of the two groups.Results The total effective rate of group B was 96.2%,which was significantly higher than 81.1%of group A,and the difference was statistically significant(χ^(2)=6.104,P<0.05);postoperative infection control time of group B(3.5±0.8)d,wound healing time(18.2±2.5)d,etc.were significantly shorter than the postoperative infection control time(5.7±1.2)d and wound healing time(27.8±3.1)d of group A,and the difference was statistically significant(t=11.105,17.549,P<0.05);The postoperative pain rate of group A was 79.2%,the postoperative pain rate of group B was 56.6%,the incidence of postoperative pain of group B was significantly lower than that of group A,and the difference was statistically significant(χ^(2)=6.235,P<0.05);before treatment,there was no significant difference between the two groups of interleukin 6,interleukin 10,tumor necrosis factor alpha and other indicators,and the difference was not statistically significant(P>0.05).After treatment,the interleukin 6,interleukin 10,tumor necrosis factor alpha and other indicators of group B were significantly better than those of group A,and the difference was statistically significant(t=18.802,6.099,13.005,P<0.05);the complication rate of group B was 1.9%,which was significantly lower than 15.1%of group A,and the difference was statistically significant(χ^(2)=4.371,P<0.05).Conclusion In the clinical treatment of patients with perianal abscess,a one-time incision and thread-drawing radical resection has a definite effect,and it can also promote the patient’s postoperative recovery,reduce the patient’s postoperative pain,effectively inhibit its inflammatory factors,and reduce its complication rate.