摘要
对428例高位肛周脓肿患者分别采用一次性切开加乳胶管引流术（治疗组）和低位切开高位挂线术（对照组）进行对比观察。结果治疗组一次性治愈214例，治愈率为100％，疗程19-25d，平均20．1d。198例随访1～3年，无1例复发。对照组一次性治愈197例，治愈率92．1％，17例失败行第二次手术治愈，占7．9％。脱线时间为13～21d，平均15．2d。58例行二次紧线，21例行三次紧线，疗程28-41d，平均35．1d。术后23例出现肛门关闭不紧，38例出现肛门沟状缺损。165例随访1～3年，复发11例，占6．7％。结果表明，治疗组较对照组具有痛苦小、恢复快、复发率低等优点。
Four hundred and twenty eight patients with high perianal abscess were evenly divided into two groups. Group 1 underwent the procedure of primary incision and latex-tubular drainage（the study group）, while patients in group 2 underwent low incision and high thread-drawing（the controlled group）. As results,in the study group,the primary cure rate was 100%（214/214）,the treatment course was 19-25 days （mean 20. ldays）,and follow up of 1-3 years showed no recurrence ; while in the controlled group,the primary cure rate was 92.1%（197/214）,the rest 17 cases were cured by second surgery（7.9%）,thread exfoliation was 13-21 days（mean 15.2 days） ;also in the controlled group,there were 58 cases who＇s threads had been tightened for the second time,and there were 21 cases who＇s threads had been tightened for the third time, the mean treatment course was 35.1 days（range 28-41 days）, incomplete anal contraction was found in 23 cases,anal defect was found in 38 cases,and recurrence was found in 11 cases（6.7%,11/165） during the follow up of 1-3 years. It is concluded that the surgical procedure of primary incision and latex-tubular drainage is better than control procedure.
出处
《中国肛肠病杂志》
2008年第5期26-28,共3页
Chinese Journal of Coloproctology
关键词
肛周脓肿
手术
疗效比较
Perianal abscess
Operation
Comparison of therapeutic efficacy
