肛管直肠周围脓肿的手术治疗研究进展

肛管直肠周围脓肿为肛肠科常见病之一,手术仍然是治疗该病最有效的方式.手术方式大体经历了以下3个标志性阶段的演变,即从最初的单纯切开引流,待形成肛瘘后行二期手术,发展到一期根治术,再到以强调保护肛门功能为主的保留括约肌术式.随着这些术式在临床的推广运用,不仅使脓肿复发率和肛瘘发生率逐渐减少,还从很大程度上保护了肛门的精细功能及外观的完整性,大大减轻了患者痛苦并提高了生活质量.

Recent progress in surgical management of perianal abscess

Perianal abscess is one of the common rectal diseases. Surgical management is still the most effective way. Surgical methods have roughly experienced three phases of landmark development: initially simple incision/drainage combined with surgery for the second time when fistula-in-ano is formed, followed by primary curative incision, and finally sphincter-preserving surgery, which reinforces the importance of protecting the function of the anus. The use of these surgical methods not only reduces the recurrence of abscess and the incidence of anal fistula, but also protects the fine function and integrity of the anus, greatly reducing the pain in patients and raising their quality of lives.