放射状多切口挂浮线引流术对肛周脓肿术后肛门功能的影响及疗效观察
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摘要
目的观察放射状多切口挂浮线引流术对肛周脓肿术后肛门功能的影响及疗效。方法选择2015年7月至2015年12月本院收治的75例肛周脓肿患者为研究对象。依患者治疗意愿,分为治疗组(行放射状多切口挂浮线引流术,n=38)和对照组(行单纯多切口引流术,n=37)。比较两组术后肛门功能及疗效。结果治疗组术后7 d肛门功能正常占94.74%,显著优于对照组(P﹤0.05);两组肛门部分失禁及完全失禁发生率差异无统计学意义(P﹥0.05)。术后随访6个月,两组治愈率、好转率及无效率差异均无统计学意义(P>0.05)。结论放射状多切口挂浮线引流术能够较好保留肛周脓肿患者的肛门功能,疗效良好。
Objective To compare curative effect between radial multi-incision floating line drainage and simple multi-incision drainage on anal function after perianal abscess operation. Methods 75 patients with perianal abscess who received treatment in our hospital from July 2015 to December 2015 were recruited. Patients were divided into treatment group(radial multi-incision floating line drainage, n = 38) and the control group(simple multi-incision drainage, n = 37). The anus function and curative effect were compared between the two groups. Results Normal anus function after treatment was 94.75% in the treatment group, which was significantly better than that in the control group(P < 0.05). There were no significant difference in the incidence of complete incontinence and anal incontinence between the two groups(P > 0.05). There was no significant difference between the two groups in the cure rate,the improvement rate and the invalid rate. Conclusions Compared with simple multi-incision drainage, radial multi-incision floating-line drainage has limited benefit on patient's anal function and lowing recurrence rate.
Objective To compare curative effect between radial multi-incision floating line drainage and simple multi-incision drainage on anal function after perianal abscess operation. Methods 75 patients with perianal abscess who received treatment in our hospital from July 2015 to December 2015 were recruited. Patients were divided into treatment group(radial multi-incision floating line drainage, n = 38) and the control group(simple multi-incision drainage, n = 37). The anus function and curative effect were compared between the two groups. Results Normal anus function after treatment was 94.75% in the treatment group, which was significantly better than that in the control group(P < 0.05). There were no significant difference in the incidence of complete incontinence and anal incontinence between the two groups(P > 0.05). There was no significant difference between the two groups in the cure rate,the improvement rate and the invalid rate. Conclusions Compared with simple multi-incision drainage, radial multi-incision floating-line drainage has limited benefit on patient's anal function and lowing recurrence rate.
引文
[1]王建方,杨国山,牟东成,等.一次性肛周脓肿根治术与传统分期治疗106例肛周脓肿效果对比[J].中国医药导报,2013,10(27):51-53.
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[5]马志茹.多切口挂浮线引流术治疗蹄铁型脓肿肛瘘80例的临床分析[J].内蒙古中医药,2014,33(1):25-26.
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[10]NISHIMOTO M,NAKAMAE H,WATANABE K,et al.Successful treatment of both acute leukemia and active Crohn's disease after allogeneic hematopoietic stem cell transplantation using reduced-intensity conditioning with fludarabine and busulfan:a case report[J].Transplantation Proceedings,2013,45(7):2854-2857.
[11]PERERA AP,HOWELL AM,SODERGREN MH,et al.A pilot randomised controlled trial evaluating postoperative packing of the perianal abscess[J].Langenbeck's Archives of Surgery,2015,400(2):267-271.
[12]周迈,李天牧.高位肛周脓肿导致会阴部坏死性筋膜炎的临床分析(附6例报告)[J].结直肠肛门外科,2012,18(6):373-374.
[13]赵建芳,姚一多.坐浴对肛周脓肿术后创面愈合作用的研究进展[J].结直肠肛门外科,2012,18(6):407-408.
[14]蒋进广,王猛,陈娟,等.改良Ⅰ期切开挂线引流术治疗高位肛周脓肿24例疗效观察[J].结直肠肛门外科,2012,18(3):194-195.
[15]AMATO A,BOTTINI C,DE NARDI P.Evaluation and management of perianal abscess and anal fistula:a consensus statement developed by the Italian Society of Colorectal Surgery(SICCR)[J].Tech Coloproctol,2015 Oct,19(10):595-606.
[2]吴友良.一次性肛周脓肿根治术与传统分期治疗106例肛周脓肿效果对比[J].医药与保健,2015,10(8):60-61.
[3]RENCUZOGULLARI A.Retention of vacuum-assisted closure device sponge leading to a perianal abscess and fistula[J].Int Wound J,2015 Dec,12(6):739-740.
[4]杨金花.多切口挂浮线引流术一次根治蹄铁型肛周脓肿32例体会[J].医学理论与实践,2012,25(18):2271-2272.
[5]马志茹.多切口挂浮线引流术治疗蹄铁型脓肿肛瘘80例的临床分析[J].内蒙古中医药,2014,33(1):25-26.
[6]杨其良,曹永清.内口“⊥”处理加外用敛痔散一次性治疗肛周脓肿360例的临床观察[J].世界中医药,2013,8(6):633-635.
[7]李薇,高杰.浮线治疗多间隙肛周脓肿临床观察[J].北京中医药,2012,31(12):910-912.
[8]谷海龙,金明杰.一次性根治术治疗肛周脓肿100例临床报告[J].临床医药文献电子杂志,2014,1(7):1143-1144.
[9]孟毓国.一次性肛周脓肿根治术与传统分期治疗肛周脓肿效果对比[J].大家健康(下旬版),2015,9(10):115-116.
[10]NISHIMOTO M,NAKAMAE H,WATANABE K,et al.Successful treatment of both acute leukemia and active Crohn's disease after allogeneic hematopoietic stem cell transplantation using reduced-intensity conditioning with fludarabine and busulfan:a case report[J].Transplantation Proceedings,2013,45(7):2854-2857.
[11]PERERA AP,HOWELL AM,SODERGREN MH,et al.A pilot randomised controlled trial evaluating postoperative packing of the perianal abscess[J].Langenbeck's Archives of Surgery,2015,400(2):267-271.
[12]周迈,李天牧.高位肛周脓肿导致会阴部坏死性筋膜炎的临床分析(附6例报告)[J].结直肠肛门外科,2012,18(6):373-374.
[13]赵建芳,姚一多.坐浴对肛周脓肿术后创面愈合作用的研究进展[J].结直肠肛门外科,2012,18(6):407-408.
[14]蒋进广,王猛,陈娟,等.改良Ⅰ期切开挂线引流术治疗高位肛周脓肿24例疗效观察[J].结直肠肛门外科,2012,18(3):194-195.
[15]AMATO A,BOTTINI C,DE NARDI P.Evaluation and management of perianal abscess and anal fistula:a consensus statement developed by the Italian Society of Colorectal Surgery(SICCR)[J].Tech Coloproctol,2015 Oct,19(10):595-606.