一期手术治疗直肠肛管周围脓肿67例疗效观察

Retrospective Study of Primary Operation in Perianorectal Abscess Patients(A Report of 67 Cases)

目的 评价一期手术治疗直肠肛管周围脓肿的疗效。 方法 一期脓肿切开引流加挂线术治疗直肠肛管周围脓肿 67例 ,包括肛管皮下脓肿 48例 ,坐骨直肠间隙脓肿 11例 ,骨盆直肠间隙脓肿8例。 结果 术后随访 2～ 5年 ,一期治愈率 97.0 % ( 65 / 67) ,1例形成肛瘘 ,1例再次形成脓肿。 结论 一期手术治疗直肠肛管周围脓肿 ,能正确处理原发感染灶 (内口 ) ,保持引流通畅 ,保证伤口愈合由深到浅 ,从里到外 ,防止皮肤过早愈合 ,疗效确切 。

Objective To evaluate the efficacy of primary operation in perianorectal abscess patients. Methods 67 cases underwent the abscess incision and seton drainage, including 48 cases of subcutaneous abscess, 11 cases of ischiorectal abscess, and 8 cases of pelvirectal abscess. Results Total effective rate was 97%, except 1 case had anal fistula and 1 case had abscess again. Conclusion Primary operation is an effective method for perianoectal abscess if enough drainage is taken, the wound is kept healing from inside to outside and the skin is prevented to heal too early.