| 谢昌营,林申奇.经肛括约肌间切开术合拖线引流术治疗肛周脓肿的临床研究[J].实用中西医结合临床,2021,21(10): |
| 经肛括约肌间切开术合拖线引流术治疗肛周脓肿的临床研究 |
| Clinical study on treatment of perianal abscess by interanal sphincterotomy combined with drainage |
| 投稿时间：2021-02-07 修订日期：2021-05-08 |
| DOI： |
| 中文关键词: 肛周脓肿 经肛括约肌间切开 拖线引流 临床疗效 |
| 英文关键词: Perianal abscess Incision through the anal sphincter Towing line drainage Clinical curative effect |
| 基金项目:江西省卫生健康委科技计划(202130594) 、《全国中医临床特色技术传承骨干人才培训项目实施方案》（国中医药办人教函〔2018〕224 号） |
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| 中文摘要: |
| 目的：观察经肛括约肌间切开术合拖线引流术治疗肛周脓肿的临床疗效。方法：将40例括约肌间马蹄形肛周脓肿患者随机分为治疗组、对照组，每组20例。对照组采用肛周脓肿切开挂线术治疗，治疗组采用经肛括约肌间切开术合拖线引流术治疗。观察临床疗效、术后肛门功能评分、并发症评分、创面愈合时间和术后复发率。结果：治疗组有效率为95%优于对照组90%，但是差异无统计学意义（P>0.05）；治疗组在术后肛门功能、肛门疼痛、创面渗出物、创面愈合时间、复发率方面显著优于对照组（P<0.05）。结论：经肛括约肌间切开术合拖线引流术治疗低位括约肌间脓肿疗效满意，具有具有疼痛轻、渗出少、恢复快、损伤小、复发率低等优点，值得临床推广应用。 |
| 英文摘要: |
| Objective: To observe the clinical effect of interanal sphincterotomy combined with drag drainage in the treatment of perianal abscess. Methods: 40 patients with horseshoe perianal abscess between sphincter were randomly divided into treatment group and control group, with 20 cases in each group. The control group was treated with perianal abscess incision and suture hanging, and the treatment group was treated with interanal sphincterotomy and suture pulling drainage. Clinical efficacy, postoperative anal function score, postoperative complication score, wound healing time and postoperative recurrence rate were observed. Results: The effective rate in the treatment group was 95% better than 90% in the control group, but the difference was not statistically significant (P>0.05). The anal function, anal pain, wound exudate, wound healing time and recurrence rate in the treatment group were significantly better than those in the control group (P<0.05). Conclusion: The treatment of low sphincter abscess by transanal sphincterotomy combined with drainage is satisfactory, with the advantages of less pain, less exudation, quick recovery, less injury and low recurrence rate, which is worthy of clinical application. |
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