保留括约肌闭合引流术治疗坐骨直肠窝脓肿的临床研究

目的:探讨保留括约肌闭合引流术治疗坐骨直肠窝脓肿的临床疗效。方法:将16例坐骨直肠窝脓肿患者随机分为两组,治疗组采用保留括约肌闭合引流术治疗,对照组采用经典的切开引流术,术后用雷夫诺尔纱条换药,形成肛瘘者再行肛瘘手术。两组患者痊愈后进行肛门功能、瘢痕面积和治疗时间的对照研究,并随访6个月观察疗效。结果:两组在痊愈后瘢痕面积及治疗时间上有统计学差异(P<0.05)。结论:保留括约肌闭合引流术治疗坐骨直肠窝脓肿具有一定的优势,在治愈肛周脓肿的同时能保护肛门括约肌,并缩短治疗时间。

Clinical Study on Ischiorectal Abscess Treated by Sphincter-retaining and Closed Drainage Therapy

Objective：To observe the effect of sphincter-retaining and closed drainage therapy on ischiorectal abscess. Method：16 Patients with ischiorectal abscess were randomly divided into the treatment group （8 cases） treated with sphincter-retaining and closed drainage therapy, and the control group （8 cases） treated with incision and drainage. Anal fistula was treated with operation .At the recovery time, the anal function, the scar area and treatment time were observed. All patients were followed up for 6 months to observe the curative effect.Results：Two groups of patients after cure, the scar area and duration of treatment had statistical difference （P 〈0.05）. Conclusion： Sphincter-retaining and closed drainage therapy has proved to have the advantages of short treatment course and good function protecting effect for ischiorectal abscess.