根治性切开引流与单纯切开引流治疗肛周脓肿临床效果的比较研究

目的比较根治性切开引流与单纯切开引流治疗肛周脓肿的临床效果。方法选取我院2009年12月~2012年12月住院治疗的肛周脓肿患者76例,随机分为观察组和对照组,每组各38例。观察组行根治性切开引流术,对照组行单纯切开引流术,比较两组的临床治疗效果及术后感染控制时间、疗程、复发。结果观察组患者治疗结束后1例症状或体征无改变,1例出现肛瘘。对照组患者治疗结束后5例症状或体征无改变,3例出现肛瘘,观察组治疗后的总有效率达94.74%,明显优于对照组,组间比较,差异具有显著性(P<0.05)。观察组患者术后应用抗生素控制感染时间(3.1±0.8)d,总疗程达(19.2±1.3)d,分别与对照组比较,明显短于对照组,组间比较,差异具有显著性(P<0.05)。且术后随访1年,观察组患者复发5例,对照组患者随访期间复发11例,两组复发率分别为13.2%、28.9%,差异具有显著性(P<0.05)。结论根治性切开引流治疗肛周脓肿临床效果明显优于单纯切开引流术,可以缩短住院时间,复发率低,值得广泛推广和应用。

Comparison of clinical effects of incision and drainage and simple incision and drainage in treatment of perianal abscess

Objective To compare the clinical effects of radical and simple incision and drainage of abscess incision and drainage. Methods In our hospital from December 2009 to December 2012,76 case hospitalized patients with perianal abscesss were randomly divided into observation group and control group, 38 cases in each group, the observa- tion group underwent radical incision and drainage ,the control group with simple incision and drainage ,the clinical outcomes and postoperative infection control time, treatment, relapse were compared. Results The patients after one case no change in symptoms or signs, 1 case of anal fistula. Control group of patients after treatment five cases no change in symptoms or signs, 3 cases of anal fistula, the observation group after treatment, the total effective rate was 94.74%, was significantly better than the control group between the two groups, the difference was significant（P〈0.05）. The patients postoperative antibiotics to control infection time was （3.1±0.8） days, the total course of treatment was （19.2±1.3）days, respectively, compared with the control group, was significantly shorter than the control group between the two groups, the difference was significant（P〈0.05）. And 1-year postoperative follow-up, 5 cases of recurrence was ob- served in patients in the control group of patients relapsed during follow-up in 11 cases, two recurrence rates were 13.2%, 28.9%, between the two groups, the difference was significant （P〈0.05）. Conclusion Radical treatment of peri- anal abscess incision and drainage of the clinical effect was better than incision and drainage, can shorten the hospital stay, recurrence rate, should be popularized and applied.