一次性切开根治术治疗肛门周围脓肿47例临床分析

Treatment of perianal abscess by primary radical therapy: A clinical analysis of 47 cases

摘要: 目的: 探讨一次性切开根治肛门直肠周围脓肿(肛周脓肿)的有效方法。方法: 47例肛周脓肿,采用一次性切开根治术治疗42例,脓肿一次性切开根治加挂线术5例。结果: 术后一次性治愈43例,占91.4%,随访6个月~3年均无复发。结论: 一次性根治术治疗肛周脓肿疗效确切,方法可行。手术成功要点在于准确找寻内口,合理选择术式,防止肛门失禁。

Abstract: Objective: To analyze the therapeutic effect of primary incision plus radical operation on perianal abscess.Methods: Of all the cases 42 cases received primary radical incision,5 cases primary radical incision and thread drawing.Results: The postoperative cure rate by primary radical incision was 91.4%(43/47).No relapse was found during the 0.5 to 3.0 years.Conclusions: The key points of operational success were correct localization of the internal orifice,rational selection of surgical operation and prevention of fecal incontinence.