肛周脓肿治疗体会

目的：探讨I期根治性手术治疗肛周脓肿术后复发或形成肛瘘的主要原因。方法对393例肛周脓肿患者采用一次性根治术治疗。结果术后随访3个月~2年,365例治愈,28例术后复发或形成肛周脓肿,主要原因是：内口找寻与处理不正确,术后换药不规范,患者伤口未愈即放弃换药,便后不愿坐浴,特殊感染等。结论提高肛周脓肿I期根治术成功率的关键是正确找寻并处理内口,术后换药应规范,加强健康教育,提高患者依从性,术后常规送分泌物培养或送病理检查。

Treatment of Perianal Abscess

Objective Exploration of the recurrence or anal fistula after radical surgery Stage I to cure the perianal abscess. Method Using radical surgery Stage I to treat 393 patients of the perianal abscess. Results 3 months to 2 years of post-operation follow-up：365 patients cured and 28 cases of recurrence or forming anal fistula . Major cause：Incorrect endostoma finding or not handled properly, unstandard post-operation dressing, stopping dressing before the wound healing, no hip bath after defecation, special infection, etc. Conclusion The key to improve the success rate of the radical surgery Stage I to cure the perianal abscess is to find and handle the endostoma correctly, to standardize the post-operation dressing and to enforce the health education and patients’ compliance for hip bath after defecation in time and routine postoperative send secretion culture or pathologic examination.