研究一次性肛周脓肿根治术与分期手术治疗肛周脓肿疾病的临床效果

Study on the Clinical Effect of One-time Radical Perianal Abscess Surgery and Staged Surgery in the Treatment of Perianal Abscess Disease

目的分析治疗肛周脓肿疾病实施一次性肛周脓肿根治术与分期手术治疗的临床效果。方法选取2021年9月—2023年9月无锡市惠山区康复医院收治的80例肛周脓肿疾病患者为研究对象。按入院顺序,将患者编为1~80号,1~40号为对照组,实施分期手术治疗;41~80号为研究组,实施一次性肛周脓肿根治术。对比两组患者的临床指标、肛门功能指标、疼痛指标,分析临床效果。结果研究组手术用时、切口恢复时间、住院天数均短于对照组,差异有统计学意义(P均<0.05)。研究组肛门功能指标均优于对照组,差异有统计学意义(P<0.05)。研究组疼痛评分低于对照组,差异有统计学意义(P<0.05)。研究组的治疗总有效率(97.50%)高于对照组(85.00%),差异有统计学意义(χ^(2)=3.914,P<0.05)。结论实施一次性肛周脓肿根治术治疗的患者,其临床指标、肛门功能指标更优,疼痛评分更低,临床效果更好。

Objective To analyze the clinical effects of one-time radical perianal abscess surgery and staged surgery in the treatment of perianal abscess disease.Methods A total of 80 patients with perianal abscess disease who were admitted to Wuxi Huishan District Rehabilitation Hospital from September 2021 to September 2023 were selected as study subjects.According to the order of admission,the patients were numbered as 1~80,number 1~40 for the control group to implement staged surgical treatment,and number 41~80 for the study group to implement one-time radical perianal abscess surgery.The clinical indexes,anal function indexes and pain indexes of the two groups were compared,and the clinical effects were analyzed.Results The operation time,incision recovery time and hospitalization days of the patients in the study group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).The anal function indexes of patients in the study group were better than those of the control group,and the differences were statistically significant(P<0.05).The pain score of patients in the study group were lower than that of the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 97.50%,which was higher than that of the control group(85.00%),and the difference was statistically significant(χ^(2)=3.914,P<0.05).Conclusion Patients who were treated with one-time radical perianal abscess treatment had better clinical indexes and anal function indexes,lower pain scores,and better clinical outcomes.