开窗挂线治疗肛直肠周围脓肿临床观察.pdfVIP

中文摘要 目的:旨在通过观察此种治疗方法一次性治疗肛周脓肿的疗效，以其达到本方法在 缩短治疗周期，减轻术后疼痛，保护肛门括约肌和维护肛门功能等方面具有优越性， 进而推广此方法，使其能够减轻病痛对人们的折磨，提高病人的生活质量加强了人们 战胜疾病的信心。 方法:选择符合本方法观察要求的肛门直肠周围脓肿病人60 例，以随机分组原则 分为2 个组，把两个组分别定为治疗组和对照组，治疗组和对照组观察病人各30 例， 治疗组采用开窗挂线法治疗直肠肛门周围脓肿，对照组采用切开引流挂线术。治疗后 比较2 个组患者的愈合时间、肛门括约肌功能、总疗效、术后疼痛程度等方面。 结果:通过观察得出治疗组在换药时疼痛程度、疗程方面具有明显优越性(疼痛程 度:治疗组1.89 士0.62，对照组2.57 士0.77，P0.05；疗程:治疗组21.20 士7.03， 对照组26.22 士5.73，P0.05。)。而在肛门功能和总疗效方面没有显示出特异的优 越性。 结论:通过对60 例肛周脓肿患者分别使用不同的治疗方法进行肛周脓肿的一次性 根治的临床观察，得出这样的结论: 开窗挂线治疗直肠肛门周围脓肿的方法治疗肛周 脓肿能达到引流通畅，促进坏死组织脱落，有效的缩短疗程、减轻术后疼痛、形成瘫 痕较小，达到了提高肛周脓肿的治愈率，同时又不同程度的保护了肛门的形态和功能， 较大程度的避免了副损伤，是一种治疗肛周脓肿行之有效的方法。 关键词:肛周脓肿 开窗挂线 临床观察 To create a hanging-line treatment for clinical observation of anorectal abscess Abstract Objective: The purpose of such treatment by observing a one-time effect of treatment of perianal abscess, with its Da Dao Ben method Zaisuo Duan treatment cycle, Jianqingshuhou pain, protect the anal sphincter and anal Gongneng Deng Fang Mian Wei Hu has advantages then extended this method to enable it to reduce the suffering of the patients, improve patient quality of life. Methods: 60 cases met the observational abscess patients, according to the principles of randomized into 2 groups, respectively, for the treatment group and control group, treatment group and control group patients in the observation of 30 cases, window hanging line treatment of colorectal perianal abscess, incision and drainage hang the control group patients. Comparison of two groups of patients after the total effect, anal function, postoperative pain, healing time were compared. Results: The treatment group was obtained by observing the course of treatment, pain during dressing change significantly the degree of superiority (treatment: treatment group 21.20 ±7.03, control group 26.22 ± 5.73, P