内口“⊥”处理联合药物外敷治疗肛周脓肿的临床疗效
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摘要
目的分析内口"⊥"处理联合药物外敷治疗肛周脓肿的临床疗效。方法选取2016年1月至2017年5月东营市东营区人民医院收治的肛周脓肿患者45例,均实施内口"⊥"处理联合药物外敷治疗,分析患者的治疗效果。结果 45例患者总有效率为95. 56%(43/45),手术时间为(16. 1±2. 2) min,住院时间为(10. 7±2. 0) d,创面愈合时间为(13. 3±1. 5) d。患者疼痛程度较轻,且术后7 d患者疼痛程度明显轻于术后1 d(P <0. 05)。2例高位脓肿患者术后25 d出现肛门异常溢液、溢气现象,术后3个月消失;本组共有4例患者出现复发或愈合情况不佳,再次处理后均达到治愈标准。结论内口"⊥"处理联合药物外敷治疗肛周脓肿效果明显,疼痛程度较轻,患者术后住院时间短,并发症发生风险低,且切口愈合情况良好。
Objective To analyze the clinical effect of internal " ⊥" treatment combined with external application of drugs in the treatment of perianal abscess. Methods Forty-five patients with perianal abscess admitted to Dongying District People's Hospital of Dongying City from Jan. 2016 to May 2017 treated with internal " ⊥" treatment and external application of drugs were included to analyze the therapeutic effect. Results The total effective rate of the 45 patients was 95. 56%( 43/45),the average operation time was( 16. 1 ± 2. 2) min,the hospitalization time was( 10. 7 ± 2. 0) d,and the wound healing time was( 13. 3 ± 1. 5) d. The patient's pain was mild,and the pain level on the 7~(th) day after surgery was significantly lighter than 1~(st) day after surgery( P < 0. 05). Two patients with high abscess developed anal abnormal liquid and gas discharge on the 25~(th) day after operation,and disappeared 3 months after operation. There were 4 patients in this group who had recurrence or unsatisfactory healed condition,and reached the cure standard after retreatment. Conclusion For patients with perianal abscess,the internal " ⊥" treatment combined with external application of drugs has obvious effect,with milder pain,shorter hospital stay,lower risk of complications and good wound healing condition.
Objective To analyze the clinical effect of internal " ⊥" treatment combined with external application of drugs in the treatment of perianal abscess. Methods Forty-five patients with perianal abscess admitted to Dongying District People's Hospital of Dongying City from Jan. 2016 to May 2017 treated with internal " ⊥" treatment and external application of drugs were included to analyze the therapeutic effect. Results The total effective rate of the 45 patients was 95. 56%( 43/45),the average operation time was( 16. 1 ± 2. 2) min,the hospitalization time was( 10. 7 ± 2. 0) d,and the wound healing time was( 13. 3 ± 1. 5) d. The patient's pain was mild,and the pain level on the 7~(th) day after surgery was significantly lighter than 1~(st) day after surgery( P < 0. 05). Two patients with high abscess developed anal abnormal liquid and gas discharge on the 25~(th) day after operation,and disappeared 3 months after operation. There were 4 patients in this group who had recurrence or unsatisfactory healed condition,and reached the cure standard after retreatment. Conclusion For patients with perianal abscess,the internal " ⊥" treatment combined with external application of drugs has obvious effect,with milder pain,shorter hospital stay,lower risk of complications and good wound healing condition.
引文
[1]张仁豹.切开挂线术与切开引流术治疗高位马蹄型肛周脓肿的临床分析[J].山西医药杂志,2017,46(8):918-920.
[2]王志新.综述浅挂线法治疗高位肛周脓肿的临床研究[J/CD].临床医药文献电子杂志,2017,4(53):10472-10473.
[3]白莉,甘从康,陈云华.重组人表皮生长因子对高位肛周脓肿患者术后疼痛程度及创面恢复的影响[J].医学综述,2016,22(13):2702-2704.
[4]朱永伟.一次性根治术治疗肛周脓肿临床分析[J].临床合理用药杂志,2014,7(4):145.
[5]李昆伦,阚飞.高位置管加对口引流治疗多间隙肛周脓肿的临床疗效研究[J].中国社区医师,2017,33(16):47-48.
[6]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.
[7]刘春强,李德钢,孔凡彪,等.苦劳汤灌洗联合负压闭式引流治疗肛周脓肿的疗效研究[J].中华中医药杂志,2016,31(12):5379-5381.
[8]陈伟,覃麟.挂实线术联合瘘管部分切开术治疗肛周脓肿并肛瘘患者的临床观察[J].结直肠肛门外科,2017,27(1):63-67.
[9]高瑛,陈本会,薛萍.肛周脓肿伴大腿脓肿患者的伤口护理1例[J].护理实践与研究,2013,10(3):158-159.
[10]李祥乐.肛周脓肿发病因素与中医体质的相关性研究[D].广州:广州中医药大学,2012.
[11]闫涛.肛周脓肿的病因及临床诊断[J].内蒙古中医药,2014,33(12):78-79.
[12]陈滟.三间隙引流术治疗肛周脓肿的应用研究[D].南京:南京中医药大学,2016.
[13]郑金坚,谭红,郑军营.切开对口引流挂线术加活血通络方坐浴治疗高位肛周脓肿68例[J].中国医师进修杂志,2014,37(26):68-69.
[14]梅世文,金黑鹰.肛旁脓肿的术式选择[J/CD].中华结直肠疾病电子杂志,2016,5(5):376-379.
[15]韩宁,王业皇.肛瘘手术治疗中内口处理方式研究进展[J].辽宁中医药大学学报,2016,9(6):104-107.
[16]宁玉静,贺平.内口处理在肛瘘手术中的研究现状[J]中国肛肠病杂志,2014,34(12):116-117.
[17]谢永俊,常家聪.手术切开引流对肛周脓肿患者肛瘘形成的防治效果[J].中国普通外科杂志,2014,23(9):1299-1302.
[18]李晟玮,陆继宏,张社生,等.改良式内口处理置管负压引流治疗高位肛瘘的临床分析[J].中国肛肠病杂志,2017,37(8):74-75.
[19]黄文红,黄双英.关元穴穴位按摩联合中药贴敷预防肛肠科术后尿潴留疗效观察[J].中国中医急症,2014,23(3):491-492.
[20]张丹凤.敛痔散治疗痔外剥内扎术后疼痛的临床观察[D].上海:上海中医药大学,2013.
[2]王志新.综述浅挂线法治疗高位肛周脓肿的临床研究[J/CD].临床医药文献电子杂志,2017,4(53):10472-10473.
[3]白莉,甘从康,陈云华.重组人表皮生长因子对高位肛周脓肿患者术后疼痛程度及创面恢复的影响[J].医学综述,2016,22(13):2702-2704.
[4]朱永伟.一次性根治术治疗肛周脓肿临床分析[J].临床合理用药杂志,2014,7(4):145.
[5]李昆伦,阚飞.高位置管加对口引流治疗多间隙肛周脓肿的临床疗效研究[J].中国社区医师,2017,33(16):47-48.
[6]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.
[7]刘春强,李德钢,孔凡彪,等.苦劳汤灌洗联合负压闭式引流治疗肛周脓肿的疗效研究[J].中华中医药杂志,2016,31(12):5379-5381.
[8]陈伟,覃麟.挂实线术联合瘘管部分切开术治疗肛周脓肿并肛瘘患者的临床观察[J].结直肠肛门外科,2017,27(1):63-67.
[9]高瑛,陈本会,薛萍.肛周脓肿伴大腿脓肿患者的伤口护理1例[J].护理实践与研究,2013,10(3):158-159.
[10]李祥乐.肛周脓肿发病因素与中医体质的相关性研究[D].广州:广州中医药大学,2012.
[11]闫涛.肛周脓肿的病因及临床诊断[J].内蒙古中医药,2014,33(12):78-79.
[12]陈滟.三间隙引流术治疗肛周脓肿的应用研究[D].南京:南京中医药大学,2016.
[13]郑金坚,谭红,郑军营.切开对口引流挂线术加活血通络方坐浴治疗高位肛周脓肿68例[J].中国医师进修杂志,2014,37(26):68-69.
[14]梅世文,金黑鹰.肛旁脓肿的术式选择[J/CD].中华结直肠疾病电子杂志,2016,5(5):376-379.
[15]韩宁,王业皇.肛瘘手术治疗中内口处理方式研究进展[J].辽宁中医药大学学报,2016,9(6):104-107.
[16]宁玉静,贺平.内口处理在肛瘘手术中的研究现状[J]中国肛肠病杂志,2014,34(12):116-117.
[17]谢永俊,常家聪.手术切开引流对肛周脓肿患者肛瘘形成的防治效果[J].中国普通外科杂志,2014,23(9):1299-1302.
[18]李晟玮,陆继宏,张社生,等.改良式内口处理置管负压引流治疗高位肛瘘的临床分析[J].中国肛肠病杂志,2017,37(8):74-75.
[19]黄文红,黄双英.关元穴穴位按摩联合中药贴敷预防肛肠科术后尿潴留疗效观察[J].中国中医急症,2014,23(3):491-492.
[20]张丹凤.敛痔散治疗痔外剥内扎术后疼痛的临床观察[D].上海:上海中医药大学,2013.