一次性根治术和传统手术治疗肛周脓肿对比分析.docVIP

一次性根治术和传统手术治疗肛周脓肿对比分析 　　[摘要] 目的 研究一次性根治术治疗肛周脓肿的临床疗效。方法 随机选择2013年3月―2014年3月该院45例肛周脓肿患者作为观察组，予以一次性根治术；随机选取2012年2月―2013年2月该院传统手术治疗肛周脓肿的45例患者作为对照组，观察并比较两组患者治疗效果、术后肛周疼痛情况。结果 两组患者术后随访12个月，观察组患者治愈41例，延迟愈合4例，无患者复发；对照组患者治愈40例，3例延迟愈合，2例复发，两组患者治愈率比较，差异无统计学意义（P0.05）；观察组术后肛周疼痛情况显著优于对照组，差异具有统计学意义（P0.05）。 结论 应用一次性根治手术治疗肛周脓肿可有效减少复发率、缓解患者术后痛苦，提高患者满意度，值得于临床推广。 　　[关键词] 一次性根治术；传统手术；肛周脓肿；疗效 　　[中图分类号] R [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0044-02 　　[Abstract] Objective To investigate the clinical efficacy of one-time radical surgery in the treatment of perianal abscess. Methods 45 cases with perianal abscess admitted in our hospital from March 2013 to March 2014 were selected as the observation group and treated by the one-time radical surgery， and other 45 cases with perianal abscess admitted in our hospital from February 2012 to February 2013 were selected as the control group and treated by the traditional surgery. And the treatment effect， postoperative perianal pain of the two groups were observed and compared. Results Both groups were followed up for 12 months after surgery. In the observation group， 41 cases were cured， 4 cases had late healed， no recurrent case. In the control group， 40 cases were cured， 3 cases had late healed， the disease recurred in 2 cases. The difference in the cure rate between the two groups was not statistically significant（P0.05）. The observation group had significantly lighter perianal pain than the control group， the difference was statistically significant（P0.05）. Conclusion One-time radical surgery for perianal abscess can effectively reduce the recurrence rate， relieve the postoperative pain， improve patient satisfaction， so it is of worthy of clinical promotion. 　　[Key words] One-time radical surgery； Traditional surgery； Perianal abscess； Effect 　　肛周脓肿是指肛管、直肠周围软组织内或其周围间隙内发生急性化脓性感染，从而形成脓肿[1]。传统方式治疗肛周脓肿通常采用切开引流放浓的方式[2]，然而若患者处于急性期，则先予以患者切开引流、再行肛瘘手术，此治疗方式复杂且患者较为痛苦[3]。考虑两次手术的不便之处，现今多提倡一次性根治术治疗肛周脓肿，该研究随机选取2013年3月―2014年3月在该院行一次性根治术的45例肛周脓肿患者，与传统