临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (3): 57-.

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一次性根治术对肛周脓肿患者炎症因子水平以及并发症的影响

  

  1. 桂林市兴安县人民医院 中医肛肠科,广西 桂林 541300
  • 出版日期:2023-07-01 发布日期:2023-09-04

Effect of one-time radical operation on inflammatory factors and complications in patients with perianal abscess

  1. Traditional Chinese Medicine Anal and Intestine Department of Guangxi Xing'an County People's Hospital in Guilin, Guangxi Guilin 541300, China
  • Online:2023-07-01 Published:2023-09-04

摘要:

目的 探讨一次性根治术对肛周脓肿患者炎症因子水平以及并发症的影响。方法 回顾性分析2021 年6 月至2022 年6 月桂林市兴安县人民医院住院治疗的94 例肛周脓肿患者,根据手术方式不同分为观察组和对照组各47 例。观察组患者采用一次性根治术治疗,对照组患者采用三间隙引流进行治疗。对比两组患者的临床治疗效果、炎症因子水平、手术指标,以及并发症的发生情况。结果 观察组患者的近期疗效明显优于对照组,且并发症发生率及二次手术率低于对照组,差异均有显著性(P < 0.05),虽然肛瘘发生率低于对照组,但无显著差异(P > 0.05)。观察组患者的手术时间长于对照组,术后创面愈合时间短于对照组,术中出血量少于对照组,且C 反应蛋白、白介素-6 水平均低于对照组,差异均有显著性(P < 0.05)。结论 使用一次性根治术治疗肛周脓肿患者的临床疗效较好,且并发症发生率较低。

关键词: 肛周脓肿, 炎症因子, 一次性根治术

Abstract:

Objective To investigate the effect of one-time radical operation on inflammatory factors and complications in patients with perianal abscess. Method A retrospective analysis was conducted on 94 patients with perianal abscess admitted to Xing'an County People's Hospital in Guilin City from June 2021 to June 2022. They were divided into an observation group and a control group, with 47 patients in each group, based on different surgical methods. The observation group patients were treated with one-time radical surgery, while the control group patients were treated with three gap drainage. Compare the clinical treatment efficacy, inflammatory factor levels, surgical indicators, and incidence of complications between the two groups of patients. Result The short-term efficacy of the observation group patients was significantly better than that of the control group, and the incidence of

complications and secondary surgery rates were lower than those of the control group, with significant differences (P < 0.05). Although the incidence of anal fistula was lower than that of the control group, there was no significant difference (P > 0.05). The surgery time of the observation group patients was longer than that of the control group, and the postoperative wound healing time was shorter than that of the control group. The intraoperative bleeding was less than that of the control group, and the average levels of C-reactive protein and interleukin-6 water were lower than those of the control group, with significant differences (P < 0.05). Conclusion The one-time radical operation for the treatment of perianal abscess has good clinical effect and low complications.

Key words: Perianal abscess, Inflammatory factors, One-time radical operation