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1、临床医学论文•治疗肛旁脓肿如何减少肛门痿管发生的临床体会作者：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>0.05；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%(10/12)，挂线
2、组0(0/5)，P<0.05。(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]ObjectiveTounderstandrelationsbetweencauseandclinicaltraitsofperianorectalabscess,andifisornon
3、eedtreatpotentialfactorsthatcancauseanalfistulaintreatment・MethodsOnehundredtwentysevenpatientswithperianorectealabscesssystemicretrospectiveanalyzedwhowereinhospitalonourdepartmentandtheywereclassified.Thetimcofwoundhealing,formationofanalfistula,relapseabscessandcomplicationso
4、fpostsurgerywerenoted.Andthefollowingupdataweregatheredandweredonebystatisticaltreatment.Results(1)incidencerateofanalfistula:simpleabscesscavityincisionanddrainagegroupwas11.4%(1/7),andthreaddrawingtherapygroupwas6.9%(2/29),andP>0.05.Muitipleabscesscavitiesincisionanddrainagegr
5、oupwas60%(3/5),andthreaddrawingtherapywas5.8%(4/69),andP<0・005・Elevationabscesscavitiesincisionanddrainagegroupwas83.3%(10/12),andthreaddrawingtherapygroupwas0(0/5),andP<0.005,andsignificantdifference・(2)recurrenceabscess:therearenoduringobservation.(3)anusdysfunctionafteroperat
6、ion:therewasnocaseanusdysfunctioninlowsetperianorectalabscessincisionanddrainagegroupandtherewere3casesinthreaddrawingtherapygroupandtherewerenoincontincncc,and5casesinelevationperianorectalabscessandtherewerenoincontinence,loo.Andtherewerenoanalincontinence.Conclusionincidencer
7、ateofanalfistulawerehigherafterincisionanddrainage,especiallyelevationperianorectalabscess・So,wemustfindpotentialendostomaofabscesswhenweoperate,andwccanfalltheincidencerateofanalfistula.Whenthreaddrawingisright,therewerenoseveresyndromes・[Keywords]PerianorectalAbscess；Analfistu
8、la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关系，在该部位形成的
