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1、治疗肛旁脓肿如何减少肛门痿管发生临床体会作者：司徒光伟周珞华吕警军【摘要】目的探讨在治疗肛旁脓肿时如何减少肛门痿管的发生。方法通过回顾性分析5年来我科收治的肛旁脓肿127例，通过不同的肛旁脓肿类型采用挂线与不挂线手术方式治疗，对术后肛门痿管形成、复发脓肿以及术后肛门功能不良等情况进行分析比较，并进行统计学处理。结果(1)术后肛痿发生率：单腔脓肿不挂线组11.4%(1/7),挂线组6.9%(2/29),P>；O.05；多腔脓肿不挂线组60%(3/5),挂线组5.8%(4/69),P<；0.05；高位脓肿切不挂线组83.3%(10/
2、12),挂线组0(0/5),P<；0.05o(2)术后复发脓肿：观察期内0例。(3)术后肛门功能不良：低位脓肿切排引流组无肛门功能不良，挂线组共3例，无失禁；高位脓肿轻度肛门功能不良共5例，无失禁。结论肛旁脓肿因在切排术后肛痿发生率高，尤其是高位脓肿，减少肛门痿管的发生，寻找潜在的内口是关键，同时要根据不同的肛旁脓肿类型选择相应手术方式。【关键词】肛旁脓肿；肛痿[Abstract]ObjectiveTounderstandrelationsbetweencauseandclinicaltraitsofperianorectalabs
3、cess,andifisornoneedtreatpotentialfactorsthatcancauseanalfistulaintreatment・MethodsOnehundredtwentysevenpatientswithperianorectealabscesssystemicretrospectiveanalyzedwhowereinhospitalonourdepartmentandtheywereclassified.Thetimeofwoundhealing,formationofanalfistula,relaps
4、eabscessandcomplicationsofpostsurgerywerenoted.Andthefollowingupdataweregatheredandweredonebystatisticaltreatment.ResuIts(1)incidencerateofanalfistula:simpleabscesscavityincisionanddrainagegroupwas11.4%(l/7),andthreaddrawingtherapygroupwas6.9%(2/29),andP>；0.05.Multiple
5、abscesscavitiesincisionanddrainagegroupwas60%(3/5),andthreaddrawingtherapywas5.8%(4/69),andP<；0.005・Elevationabscesscavitiesincisionanddrainagegroupwas83.3%(10/12),andthreaddrawingtherapygroupwas0(0/5),andP<；0.005,andsignificantdifference.(2)recurrenceabscess：therear
6、enoduringobservation.(3)anusdysfunctionafteroperation：therewasnocaseanusdysfunctioninlowsetperianorectaiabscessincisionanddrainagegroupandtherewere3casesinthreaddrawingtherapygroupandtherewerenoincontinence,and5casesinelevationperianorectaiabscessandtherewerenoincontinen
7、ce,too.Andtherewerenoanalincontinence・Conclusionincidencerateofanalfistulawerehigherafterincisionanddrainage,especiallyelevationperianorectaiabscess.So,wemustfindpotentialendostomaofabscesswhenweoperate,andwecanfalltheincideneerateofanalfistula.Whenthreaddrawingisright,t
8、herewerenoseveresyndromes・[Keywords]PerianorectaiAbscess；Analfistula肛旁脓肿是临床上十分常见的肛门疾病，但由于肛门、直肠周围特殊的解剖结构
