切开引流挂线术与单纯切开引流术治疗肛周脓肿的效果比较

Effect comparison of incision and drainage and thread-drawing therapy and simple incision and drainage in the treatment of perianal abscess

目的分析比较肛周脓肿患者接受切开引流挂线术与单纯切开引流术治疗的临床效果。方法140例肛周脓肿患者,随机分为常规组与观察组,各70例。常规组患者采取单纯切开引流术治疗,观察组患者采取切开引流挂线术治疗。比较两组患者临床疗效、术后情况、肛门直肠测压指标、负性情绪评分、并发症发生率及复发率。结果观察组总有效率97.14%高于常规组的82.86%,差异有统计学意义(P<0.05)。观察组手术时间、创面愈合时间、住院时间均短于常规组,差异有统计学意义(P<0.05)。观察组肛管收缩压(21.54±4.37)kPa、直肠静息压(4.67±1.05)kPa、肛管静息压(18.51±4.04)kPa均高于常规组的(15.62±3.18)、(2.31±0.62)、(14.63±3.12)kPa,差异有统计学意义(P<0.05)。观察组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于常规组,差异有统计学意义(P<0.05)。观察组并发症发生率2.86%、复发率2.86%均低于常规组的11.43%、20.00%,差异有统计学意义(P<0.05)。结论切开引流挂线术治疗肛周脓肿较单纯切开引流术有着更好的临床效果,能够改善患者肛门直肠功能,且安全性高,复发率低,可以考虑积极推广。

Objective To analyze and compare the clinical effect of incision and drainage and threaddrawing therapy and simple incision and drainage in the treatment of perianal abscess.Methods A total of 140patients with perianal abscess were randomly divided into conventional group and observation group,with 70 cases in each group.Patients in the conventional group were treated with simple incision and drainage,and patients in the observation group were treated with incision and drainage and thread-drawing therapy.The clinical efficacy,postoperative conditions,anal rectum manometry index,negative emotion score,complication rate and recurrence rate were compared between the two groups.Results The total effective rate 97.14%of the observation group was higher than 82.86%of the conventional group,and the difference was statistically significant(P<0.05).The operation time,wound healing time and hospitalization time in the observation group were shorter than those in the conventional group,and the differences were statistically significant(P<0.05).The anal systolic pressure(21.54±4.37)kPa,rectal resting pressure(4.67±1.05)kPa,and anal canal resting pressure(18.51±4.04)kPa in the observation group were higher than(15.62±3.18),(2.31±0.62),and(14.63±3.12)kPa in the conventional group,and the difference was statistically significant(P<0.05).The self-rating anxiety scale(SAS)score and the self-rating depression scale(SDS)score of the observation group were lower than those of the conventional group,and the difference was statistically significant(P<0.05).The complication rate 2.86%and recurrence rate 2.86%in the observation group were lower than 11.43%and 20.00%in the conventional group,and the difference was statistically significant(P<0.05).Conclusion Incision and drainage and thread-drawing therapy has better clinical effect than simple incision and drainage,which can improve the anorectal function of patients,and has high safety and low recurrence rate.It can be actively promoted.