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1、治疗肚旁脓肿如何减少肛门痿管发生的临床体会(附127例报告)作者：司徒光伟，周珞华,吕警军单位：武汉钢铁集团公司总医院肛肠外科【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。方法通过冋顾性分析5年來我科收治的肚旁脓肿127例，通过不同的肚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%⑵29),P>0.05；多腔脓肿不挂线组60%(3
2、/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；高位脓肿轻度肚门功能不良共5例，无失禁。结论肚旁脓肿因在切排术片肛痿发生率高，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MethodofTreatmentandClin
3、icalTraitsinPerianorectalAbscessSituGuangwei1,ZhouLuohua2,LvJingjunl.(lAnorectaldepartment,GeneralHospital,Wuhansteelcompany430()80;2Departmentofnursing,WuhanscienceandtechniqueUniversity430065)[Abstract]ObjectiveTounderstandrelationsbetweencauseandclin
4、icaltraitsofperianorectalabscess,andifisornoneedtreatpotentialfactorsthatcancauseanalfistulaintreatment.MethodsOnehundredtwentysevenpatientswithperianorectealabscesssystemicretrospectiveanalyzedwhowereinhospitalonourdepartmentandtheywereclassified・Theti
5、meofwoundhealing,formationofanalfistula,relapseabscessandcomplicationsofpostsurgerywerenoted.Andthefollowingupdataweregatheredandweredonebystatisticaltreatment.Results(1)incidencerateofanalfistula:simpleabscesscavityincisionanddrainagegroupwas11.4%(I/7)
6、,andthreaddrawingtherapygroupwas6.9%(2/29),andP>().()5.Multipleabscesscavitiesincisionanddrainagegroupwas60%(3/5),andthreaddrawingtherapywas5.8%(4/69),andP<0.005.Elevationabscesscavitiesincisionanddrainagegroupwas83・3%(10/12),andthreaddrawingthera
7、pygroupwas0(0/5),andP<0・005,andsignificantdifference・(2)recurrenceabscess:therearenoduringobservation.(3)anusdysfunctionafteroperation:therewasnocaseanusdysfunctioninlowsetperianorectalabscessincisionanddrainagegroupandtherewere3casesinthreaddrawingt
8、herapygroupandtherewerenoincontinence,and5casesinelevationperianorectalabscessandtherewerenoincontinence,too.Andtherewerenoanalincontinence.Conclusionincidencerateofanalfistulawerehigherafterincisionanddrainage,especiallyelevatio
