肛周脓肿切开挂线术与切开引流术效果比较分析(1)
[摘要] 目的 比较肛周脓肿切开挂线术与切开引流术的临床效果。 方法 整群选取2014年12月—2015年11月收治的肛周脓肿患者186例作为研究对象，随机分为对照组和观察组，各93例。其中对照组给予切开引流术，观察组给予切开挂线术。比较两组的手术时间、创面愈合时间、住院时间及术后并发症情况。 结果 观察组在平均手术时间、创面愈合时间、住院时间方面均低于对照组，两组比较差异有统计学意义(t=13.63、18.88、21.81，P<0.05)。观察组术后并发症例数均小于对照组，两组并发症结果比较，均差异有统计学意义(χ2=12.89，P<0.05)。 结论 切开挂线术治疗肛周脓肿具有较好的临床效果，且具有较少的术后并发症。因此，临床上值得推广。
[关键词] 肛周脓肿；切开挂线术；切开引流术
[中图分类号] R657.1 [文献标识码] A [文章编号] 1674-0742(2016)04(a)-0080-02
[Abstract] Objective To compare the clinical effects of perianal abscess incision and thread-drawing therapy and surgical incision and drainage therapy. Methods 186 cases of patients with perianal abscess admitted and treated from December 2014 to November 2015 were selected as the research object and randomly divided into two groups with 93 cases in each， the control group were treated with surgical incision and drainage therapy， the observation group were treated with incision and thread-drawing therapy， and the operation time， wound healing time， length of stay and postoperative complications were compared between the two groups. Results The average operation time， wound healing time and length of stay in the observation group were lower than those in the control group， the differences between the two groups were obvious with statistical significance by comparison， (t=13.63， 18.88， 21.81)，P<0.05， the postoperative complication case in the observation group was fewer than that in the control group， and there was an obvious difference in the complication results between the two groups with statistical significance， (χ2=12.89，P<0.05). Conclusion The incision and thread-drawing therapy in treatment of perianal abscess has a better clinical effect and fewer postoperative complications. Therefore， it is worth promotion in clinic.
[Key words] Perianal abscess； Incision and thread-drawing therapy； Surgical incision and drainage therapye
肛周脓肿是一种发生于肛门、肛管及直肠四周的急性化脓性疾病，为三大肛肠疾病之一。发现疾病后，若不采取正确的处理，可能会发生休克甚至危及生命[1]。针对该疾病的治疗，临床上有切开挂线术和切开引流术两种[2]。为探讨效果较好的一种治疗方法，该院将2014年12月—2015年11月收治的肛周脓肿患者186例作为研究对象，通过两种方法进行治疗，结果观察组取得了较为满意的结果，现报道如下。
1 资料与方法
1.1 一般资料
整群选取2014年12月—2015年11月收治的肛周脓肿患者186例作为研究对象，其中男101例，女85例，年龄为14～71岁，平均年龄为(37.9±3.7)岁。所有患者均来自住院部，全部签署了知情同意书。将所有患者随机分为对照组和观察组，各93例。对照组男49例，女44例，年龄为14～69岁，平均年龄为(36.4±3.5)岁，平均病程(5.9±2.4)d，肛周皮下脓肿36例，直肠粘膜下脓肿17例，坐骨直肠窝脓肿21例，肛管直肠后间隙脓肿19例；观察组男52例，女41例，年龄为17～71岁，平均年龄为(37.9±3.4)岁，平均病程(6.1±2.6)d，肛周皮下脓肿39例，直肠粘膜下脓肿15例，坐骨直肠窝脓肿19例，肛管直肠后间隙脓肿20例。两组患者在性别、年龄、病程、文化程度上差异无统计学意义(P>0.05)，具有可比性。 (于相浩)
[关键词] 肛周脓肿；切开挂线术；切开引流术
[中图分类号] R657.1 [文献标识码] A [文章编号] 1674-0742(2016)04(a)-0080-02
[Abstract] Objective To compare the clinical effects of perianal abscess incision and thread-drawing therapy and surgical incision and drainage therapy. Methods 186 cases of patients with perianal abscess admitted and treated from December 2014 to November 2015 were selected as the research object and randomly divided into two groups with 93 cases in each， the control group were treated with surgical incision and drainage therapy， the observation group were treated with incision and thread-drawing therapy， and the operation time， wound healing time， length of stay and postoperative complications were compared between the two groups. Results The average operation time， wound healing time and length of stay in the observation group were lower than those in the control group， the differences between the two groups were obvious with statistical significance by comparison， (t=13.63， 18.88， 21.81)，P<0.05， the postoperative complication case in the observation group was fewer than that in the control group， and there was an obvious difference in the complication results between the two groups with statistical significance， (χ2=12.89，P<0.05). Conclusion The incision and thread-drawing therapy in treatment of perianal abscess has a better clinical effect and fewer postoperative complications. Therefore， it is worth promotion in clinic.
[Key words] Perianal abscess； Incision and thread-drawing therapy； Surgical incision and drainage therapye
肛周脓肿是一种发生于肛门、肛管及直肠四周的急性化脓性疾病，为三大肛肠疾病之一。发现疾病后，若不采取正确的处理，可能会发生休克甚至危及生命[1]。针对该疾病的治疗，临床上有切开挂线术和切开引流术两种[2]。为探讨效果较好的一种治疗方法，该院将2014年12月—2015年11月收治的肛周脓肿患者186例作为研究对象，通过两种方法进行治疗，结果观察组取得了较为满意的结果，现报道如下。
1 资料与方法
1.1 一般资料
整群选取2014年12月—2015年11月收治的肛周脓肿患者186例作为研究对象，其中男101例，女85例，年龄为14～71岁，平均年龄为(37.9±3.7)岁。所有患者均来自住院部，全部签署了知情同意书。将所有患者随机分为对照组和观察组，各93例。对照组男49例，女44例，年龄为14～69岁，平均年龄为(36.4±3.5)岁，平均病程(5.9±2.4)d，肛周皮下脓肿36例，直肠粘膜下脓肿17例，坐骨直肠窝脓肿21例，肛管直肠后间隙脓肿19例；观察组男52例，女41例，年龄为17～71岁，平均年龄为(37.9±3.4)岁，平均病程(6.1±2.6)d，肛周皮下脓肿39例，直肠粘膜下脓肿15例，坐骨直肠窝脓肿19例，肛管直肠后间隙脓肿20例。两组患者在性别、年龄、病程、文化程度上差异无统计学意义(P>0.05)，具有可比性。 (于相浩)