摘要
目的探讨高位肛周脓肿经小切口挂浮线引流术治疗的临床疗效。方法回顾性分析绍兴市中心医院医共体总院2019年4月至2021年4月诊治的95例高位肛周脓肿患者的临床资料,其中47例采用小切口挂浮线引流进行治疗(试验组),48例采用常规多切口引流进行治疗(对照组),比较两组手术时间、术中出血量、术后疼痛情况、排尿情况、肛门功能、伤口愈合情况及治疗2个月后临床疗效。结果试验组手术时间、术中出血量均少于对照组[(18.70±0.48)min比(38.10±2.52)min、(32.35±3.56)ml比(51.56±6.24)ml],差异有统计学意义(P<0.05)。试验组术后疼痛感、排尿情况及肛门功能指标均优于对照组。对照组由于采用多切口引流术进行治疗,对患者影响较大,伤口愈合周期要更长。术后2个月试验组总有效率高于对照组[100.00%(47/47)比91.67%(44/48)],差异有统计学意义(χ^(2)=4.09,P<0.05)。结论高位肛周脓肿患者采用小切口挂浮线引流术治疗,伤口愈合周期更短、疼痛感更小,对患者肛门损害低,临床疗效更好。
ObjectiveTo explore the clinical efficacy of small incision floating line drainage for the treatment of high perianal abscess.MethodsA retrospective analysis was conducted on the clinical data of 95 patients with high perianal abscess treated at the Medical Community General Hospital of Shaoxing Central Hospital from April 2019 to April 2021.Among them,47 cases were treated with small incision floating line drainage(experimental group),and 48 cases were treated with conventional multi incision drainage(control group).The surgical time,intraoperative bleeding,postoperative pain,urination status,anal function evaluation,wound healing status and the clinical efficacy of the patient after 2 months of treatment were compared between the two groups.ResultsThe surgical time,intraoperative bleeding volume in the experimental group were lower than those in the control group:(18.70±0.48)min vs.(38.10±2.52)min,(32.35±3.56)ml vs.(51.56±6.24)ml,there were statistical differences(P<0.05).The postoperative pain,urination status,anal function evaluation in the experimental group were better than those in the control group.In the experimental group,multiple incision drainage had a greater impact on patients and the wound healing cycle was longer.After treatment for 2 months,the total effective rate in the experimental group was better than that in the control group:100.00%(47/47)vs.91.67%(44/48),there was statistical difference(χ^(2)=4.09,P<0.05).ConclusionsPatients with high perianal abscess and treated with small incision floating line drainage has a shorter wound healing cycle,less pain,lower anal damage,and better clinical efficacy.
作者
邹德胜
鲁立峰
朱盈锋
周家杨
边远
刘广
Zou Desheng;Lu Lifeng;Zhu Yingfeng;Zhou Jiayang;Bian Yuan;Liu Guang(Department of Anorectal,Shaoxing Central Hospital Medical Community General Hospital,Shaoxing 312030,China)
出处
《中国医师进修杂志》
2024年第12期1148-1152,共5页
Chinese Journal of Postgraduates of Medicine
关键词
肛门疾病
浓肿
小切口
治疗结果
挂浮线引流术
Anus diseases
Abscess
Treatment outcome
Floating line drainage surgery