司徒欣欣

[摘要] 目的 探讨一期根治术治疗肛周脓肿的临床效果。 方法 选取本院2010年7月~2013年7月收治的诊断为肛周脓肿的患者64例，将所有患者随机分为实验组和对照组，每组各32例。实验组采用一期根治术进行治疗，对照组采用切开引流术进行治疗，比较两组患者的临床疗效。 结果 实验组的有效率为96.9%，明显高于对照组的62.5%（P<0.05）；实验组的并发症发生率和脓肿复发率低于对照组（P<0.05）。 结论 一期根治术治疗肛周脓肿能够明显改善患者的术后康复情况，降低术后肛瘘的发生率及脓肿复发率，具有十分显著的临床意义。

[关键词] 肛周脓肿；一期根治术；切开引流术

[中图分类号] R574.8[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0165-02

Clinical experience of one stage radical operation treating perianal abscess

SITU Xin-xin

Hemorrhoids Therapeutic Room,Department of Rehabilitation Medicine,Xinhui District People′s Hospital of Jiangmen City in Guangdong Province,Jiangmen 529100,China

[Abstract] Objective To explore the clinical effect of stage radical operation treating perianal abscess. Methods 64 patients with perianal abscess were selected in our hospital from July 2010 to July 2013 and they were randomly divided into the experimental group (n=32) and the control group (n=32).The experimental group was treated with one stage radical operation while the control group was treated with incision and drainage surgey.The clinical efficacy of the two groups was compared. Results The effective rate of the experimental group (96.9%) was higher than that in the control group (62.5%) (P＜0.05);the incidence rate of complication and the recurrence rate of perianal abscess in the experimental group were lower than those in the control group (P<0.05). Conclusion One stage radical operation treating perianal abscess can obviously improve the postoperative rehabilitation of patients,and reduce the incidence rate of archosyrinx and the recurrence rate of abscess.It has a very significant clinical significance.

[Key words] Perianal abscess;One stage radical operation;Incision and drainage surgey

肛周脓肿，又称为肛门直肠周围脓肿，是一种常见的肛门直肠疾病，发病时间较长，且难以自愈。治疗的关键在于对原发感染病灶进行彻底地清除[1]。当前临床上对于肛周脓肿主要采取传统的切开引流术和一期根治术进行治疗，本研究对本院近年来收治的64例肛周脓肿患者分别采取两种方法进行治疗，旨在为临床研究提供可靠的证据。

1 资料与方法

1.1 一般资料

随机选取本院2010年7月~2013年7月收治的诊断为肛周脓肿的患者64例，44例男性，20例女性，年龄20~71岁，平均45.6岁，平均病程为5.6 d，术前检查结果显示：33例为肛周皮下脓肿，13例为肌间脓肿，9例为直肠黏膜下脓肿，9例为坐骨直肠窝脓肿。将所有患者随机分为实验组和对照组，两组患者的年龄、性别、病程等一般资料差异无统计学意义（P＞0.05）。

1.2 方法

对照组采用切开引流术，取患侧卧位，对于脓肿较大的患者采取截石位，先对肛内铺单及会阴进行消毒。对于单侧小脓肿，行局部浸润麻醉，对于较大的脓肿行骶麻。单侧小脓肿取放射状切口，较大脓肿取弧形切口，将切缘皮肤切除，然后分离脓腔内间隔，形成单一脓腔，将坏死组织去除，对脓腔进行清洗消毒，填充凡士林纱条进行引流。……