摘要
为观察和评估一期根治术治疗肛门直肠周围脓肿的临床疗效，将128例急性肛门直肠周围脓肿病例分成一期根治性切开术组（观察组，65例）和单纯切开引流组（对照组，63例）。观察两组病例术后创面愈合时间，术后两年内的脓肿复发情况和肛瘘发生情况。结果显示，两组创面愈合时间差异无统计学意义，术后脓肿复发或瘘管形成需再次手术的病例观察组为3例，发生率4．6％，对照组为43例，发生率68．3％（P〈0．01）。结果表明，一期根治术治疗肛门直肠周围脓肿较单纯切开引流术能明显降低术后脓肿复发或瘘管形成的发生率，降低再次手术的概率，缩短疗程，减轻患者痛苦。
The objective of the study was to observe and evaluate the therapeutic results of primary radical operation in the treatment of peri-anorectal abscess. One hundred and twenty eight eases with acute peri- anorectal abscess were divided into two groups, 65 eases underwent primary radical incision of abscess （study group） ,and 63 eases underwent simple incision and drainage of abscess（controlled group）. Observation was then made on wound-healing time,recurrence within 2 years after operation,and occurrence of anal fistula. As results,there was no statistical significance in the time difference of wound healing between the two groups, while postoperative recurrence of abscess or formation of syrinx which needed to operate on once again were noticed in 3 eases in the study group,and 43 eases in the control group（ P〈0.01）. It is revealed that primary radical operation in the treatment of peri-anorectal abscess can notably reduce the postoperative abscess recurrence and formation of fistula, can shorten the treatment course, and can relieve pain.
出处
《中国肛肠病杂志》
2006年第8期38-40,共3页
Chinese Journal of Coloproctology
关键词
肛周脓肿
一期根治术
临床观察
Peri-anorectal abscess
Primary radical operation
Clinical observation
