高位虚挂线联合脓腔最顶端置管引流对高位肛周脓肿切除术患者的效果OA

Objective:To investigate the effect of high level virtual hanging line combined with catheter drainage at the top of pus cavity on high level perianal abscess(HPA)resection.Method:A total of 70 patients with HPA resection who admitted to the Anorectal Department of Xuzhou Tongshan District Hospital of Traditional Chinese Medicine from September 2019 to May 2023 were selected as the study objects,they were divided into group A(high level virtual hanging line combined with catheter drainage at the top of pus cavity treatment,n=35)and group B(incision hanging line treatment,n=35)by computer numbering method.The perioperative indexes,anal function,pain degree and postoperative complications were compared between two groups.Result:The intraoperative blood loss in group A was less than that in group B,and the wound healing time and hospitalization days were shorter than those in group B,the differences were statistically significant(P<0.05).At 60 d after surgery,the resting pressure and maximum systolic pressure of anal canal in two groups were lower than those at 1 d before surgery,but which in group A were higher than those in group B,the differences were statistically significant(P<0.05).At 3 d after surgery,the levels of serum pain factors in two groups were higher than those at 1 d before surgery,but the levels in group A were lower than those in group B,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between two groups(P>0.05).Conclusion:High level virtual hanging line combined with catheter drainage at the top of pus cavity can promote the recovery of patients with HPA resection,and reduce the impact on anal function and pain.