世界中医药2017，Vol.12Issue(11)：2651-2654,2658,5.DOI:10.3969/j.issn.1673-7202.2017.11.021
顾氏外科“早期置管引流后期负压吸引”治疗深部肛周脓肿临床研究
Gu's Surgical Treatment "Catheter Drainage with Negative Pressure Suction" in Deep Anorectal Abscess
摘要
Abstract
Objective:To observe the efficacy and safety of Gu's surgical treatment "catheter drainage with negative Pressure suction" in deep anorectal abscess.Methods:A Cohort study was conducted among patients with deep anorectal abscess in Longhua hospital and Wenzhou central hospital(from January 2015 to December 2015).There were in total of 59 cases.Patients were divided in to treatment group (29 cases,average age 38.86,male/female 26/3) which was treated with "catheter drainage with negative Pressure suction" method,and control group (30 cases,average age 43.3,male/female 26/4) which was treated with incision-thread-drawing method.To observe the general situation,imaging,abscess,IO,healing rate,healing duration,relapse as well as fistula formation.Results:Total effective rate of the treatment group and control group is 51.7％ and 46.7％ respectively,duration 32.8 d and 43.1 d (P ＜ 0.05),recurrence rate 13.8％ and 23.3％,fistula occurrence rate 48.3％ and 53.3％,ratio of complicated fistula 24.1％ and 36.7％,and Wexner score 0.48 and 1.67 (P ＜ 0.05).Conclusion:Gu's treatment "Catheter drainage with negative pressure suction" is effective and safe.Compared to rational method,it has a shorter healing duration which helps anorectal function recovery.关键词
顾氏外科/置管引流/负压吸引/肛周深部脓肿Key words
Gu's surgical treatment/Catheter drainage/Negative Pressure suction/Dee Anorectal abscess分类
医药卫生引用本文复制引用
裴景慧,王琛,黄河,曹永清,陆金根..顾氏外科“早期置管引流后期负压吸引”治疗深部肛周脓肿临床研究[J].世界中医药,2017,12(11):2651-2654,2658,5.基金项目
国家科技支撑计划拖线疗法治疗窦瘘类疾病的临床示范性研究(2015BAI04B01) （2015BAI04B01）
中医流派传承规律和模式研究(ZY3-CCCX-1-1004),上海市中医肛肠临床基地项目(ZY3-LCPT-1-1002) （ZY3-CCCX-1-1004）
