中国现代手术学杂志2017，Vol.21Issue(4)：265-268,4.DOI:10.16260/j.cnki.1009-2188.2017.04.006
三间隙引流术治疗肛周脓肿临床疗效观察
Clinical Research on Three-gap Drainage for Perianal Abscess
洪文 1刘扬 1杨博 1张忠伟 1路明1
作者信息
- 1. 新疆医科大学第一附属医院消化血管外科中心肛肠科,乌鲁木齐 830054
- 折叠
摘要
Abstract
Objective To analyze the clinical effect of three -gap drainage in the treatment of perianal abscess. Methods A total of 94 perianal abscess patients were randomly divided into two groups .The ob-servation group (n =49) were performed three-gap drainage treatment: Based on the incision of the abscess , the submucosal space between mucosal and internal sphincter , the musculus sphincter space between internal sphincter and external sphincter , and the external sphincter space located on the outside the sphincter were cut open and draining adequately.The control group ( n =45) were performed incision-thread-drawing proce-dure.The effect, postoperative visual analogue scale (VAS) score, complication rate and patients'satisfaction rate were compared between two groups . Results The cure rate and the improvement rate was 83.67% and 16.33% respectively in the observation group , and was 86.67% and 13.33% respectively in the control group, there was no statistical difference between two groups (P >0.05).No statistical difference was found in the VAS score of the first postoperative defecation between two groups (P >0.05), but the VAS score of 1-week after the operation appeared statistical difference, and the score of the observation group was signifi-cantly lower (P <0.05).No one was found abscess relapse.There was no statistical difference in the anal fistula formation rate between two groups (P >0.05), while the anal dysfunction rate was lower and the patients satisfaction rate was higher in the observation group than those in the control group (P <0.05). Conclusion Three-gap drainage is a feasible and effective method for the treatment of perianal abscess with the advantages of mild postoperative pain , protection of anus function and high patient satisfaction , which can be an ideal procedure for perianal abscess .关键词
肛周脓肿/三间隙引流术/切开挂线术Key words
perianal abscess/three-gap drainage/incision-thread-drawing procedure分类
医药卫生引用本文复制引用
洪文,刘扬,杨博,张忠伟,路明..三间隙引流术治疗肛周脓肿临床疗效观察[J].中国现代手术学杂志,2017,21(4):265-268,4.
