切开双挂线对口引流术治疗蹄铁型肛周脓肿36例临床分析

目的 分析切开双挂线对口引流术治疗蹄铁型肛周脓肿的临床疗效。方法将72例蹄铁型肛周脓肿患者随机分为观察组和对照组,每组各36例,观察组采取“切开双挂线对口引流”术式,对照组采取“放射状多切口挂线引流”术式。对两组近期疗效：术后疼痛、术后排尿、创面明显渗血、创面平均愈合时间及治愈率;远期疗效：肛门湿疹、缺损、排便异常及复发等指标进行观察。结果 观察组与对照组比较,术后疼痛时间、创面愈合时间短,肛门后遗症发生率低（P〈0.05）。术后复发率两组相比统计学无显著差异（P〉0.05）。结论 切开双挂线对口引流术治疗蹄铁型肛周脓肿疗效显著。

The clinical analyses of the treatment in 36 cases with horseshoe-shaped perianal abscess by incision and double-thread-drawing drainage

Objective To analyse the therapeutic effects of incision with double-thread-drawing drainage procedure in the treatment of horseshoe-shaped perianal abscess.Methods 70 cases with horseshoe-shaped perianal abscess were randomly divided into observing group(n=36)who received a therapy of incision combined with double thread-drawing drainage and control group(n=36)who had a procedure of multiple incision-thread-drawing drainage in medial shape.The short-term postoperative complications and long-term postoperative complications were observed and compared between the two groups.Results The lasting time of post-operative pain,the healing time of incision and the incidence of anal sequelae were less in the observing group than those in the control group(P<0.05),but there was no significant difference in postoperative recurrence among the two groups(P<0.05).Conclusions There a significant curative effect in the treatment for horseshoe-shaped perianal abscess by the procedure of incision and double thread-drawing drainage.