摘要
目的探讨微创术根治肛周深部多间隙脓肿的临床效果。方法 76例肛周深部多间隙脓肿患者随机分为观察组和对照组,每组各38例,观察组采用微创根治术,对照组采用切开挂线根治术,术后给予抗感染治疗,每日换药2次。比较两组患者的手术时间、创面愈合时间和住院时间。结果观察组治疗有效率为84.2%,显著高于对照组的63.2%(P<0.05);观察组的手术时间、创面愈合时间和住院时间均显著低于对照组(P<0.05),随访1年,观察组的复发率显著低于对照组(P<0.05)。结论微创术根治肛周深部多间隙脓肿疗效显著,可以缩短患者的治疗周期,降低术后脓肿复发率,值得临床推广应用。
Objective To observe the clinical effect of minimally invasive surgery for perianal deep space abscess. Methods 76 cases with perianal deep space abscess were randomly divided into test group and control group, with 38 cases in each group. The test group was given minimally invasive surgery, and the control group was given incision thread surgery, All the patients were given anti-infection treatment after surgery and dressing twice a day. The operative time, wound healing time and governance hospitalized time of the two groups were compared. Results The total effective rates of test group and control group was 84.2% and 63.2%, respectively, with ignificant difference （P〈0.05）. The operative time, wound healing time and governance hospitalized time of the test group were significantly less than those of the control group （P〈0.05）. Follow-up for one year, the recurrence rate of test group was significantly lower than that of the control group. Conclusion The clinical effect of minimally invasive surgery for perianal deep space abscess is satisfactory, can reduce the treatment time and recurrence rate of postoperative abscess.
出处
《海南医学》
CAS
2013年第11期1673-1675,共3页
Hainan Medical Journal
关键词
肛周脓肿
微创术
挂线疗法
Perianal abscess
Minimally invasive surgery
Incision thread surgery
