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一次性根治术联合新型敷料对肛周脓肿的疗效

张政 吴茜茜 刘爱丽 田娜 曹凯

武警医学2025,Vol.36Issue(8):654-657,663,5.
武警医学2025,Vol.36Issue(8):654-657,663,5.

一次性根治术联合新型敷料对肛周脓肿的疗效

Efficacy of one-time radical surgery combined with new dressings in the treatment of perianal abscesses

张政 1吴茜茜 2刘爱丽 1田娜 3曹凯2

作者信息

  • 1. 430061 武汉,武警湖北总队医院普外科
  • 2. 430061 武汉,武警湖北总队医院急诊医学科
  • 3. 430061 武汉,武警湖北总队医院外一科
  • 折叠

摘要

Abstract

Objective To compare the therapeutic effects of one-time radical surgery combined with new dressings and tradi-tional surgical methods in treating perianal abscess in young patients.Methods Fifty patients with perianal abscess admitted to Hu-bei Provincial Corps Hospital of Chinese People's Armed Police Force from January 2023 to August 2024 were selected and randomly divided into an observation group(one-time radical surgery+new dressing)and a control group(traditional incision and drainage+vaseline gauze),with 25 patients in each group.The wound healing time,number of dressing changes,pain score(assessed by VAS),and the incidence of anal fistula were compared between the two groups.Results The average healing time of the observa-tion group and the control group were[(13.36±6.26)d vs.(21.56±9.21)d,P<0.05],the number of dressing changes was(7.96±2.42)times compared to(15.40±6.33)times(P<0.05),the pain score at 1 week after surgery were[(4.64±1.19)vs.(6.00±1.22),P<0.05]in the observation group and the control group,and the incidence of anal fistula at 6 months after surgery were 8%vs 36%(P<0.01),all of which showed statistically significant differences.Conclusions Combination therapy can significantly shorten wound healing time,reduce dressing changes,alleviate pain,and lower the incidence of anal fistula,especially suitable for the rapid recovery needs of young people.

关键词

肛周脓肿/一次性根治术/新型敷料/疗效/青年男性

Key words

perianal abscess/one-time radical surgery/new dressing/therapeutic effect/young male

分类

医药卫生

引用本文复制引用

张政,吴茜茜,刘爱丽,田娜,曹凯..一次性根治术联合新型敷料对肛周脓肿的疗效[J].武警医学,2025,36(8):654-657,663,5.

武警医学

1004-3594

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