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| 基于高频及三维腔内超声探查结合多间隙引流术治疗复杂性肛周脓肿 |
| Treatment based on high-frequency and three-dimensional intracavitary ultrasound exploration combined with multi-space drainage surgery complex perianal abscess |
| 投稿时间：2023-08-26 修订日期：2025-05-17 |
| DOI： |
| 中文关键词: 复杂性肛周脓肿 高频及三维腔内超声探查 多间隙引流术 单纯切开引流术 切开挂线术 |
| 英文关键词: Complex perianal abscess High frequency and three-dimensional intracavity ultrasound exploration Multi gap drainage surgery Simple incision and drainage surgery Incision-thread-drawing surgery |
| 基金项目:济南市卫生健康委员会科技计划项目（2020-4-167） |
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| 中文摘要: |
| [摘要] 目的 探讨采用基于高频及三维腔内超声探查结合多间隙引流术治疗复杂性肛周脓肿的临床效果。方法 选取2020年1月至2022年3月于山东省立医院济南市槐荫医院就诊的复杂性肛周脓肿患者96例，以随机数字表法分为基于高频及三维腔内超声探查结合多间隙引流术组即观察组（n=32）、单纯切开引流术组（n=32）、切开挂线术组（n=32），比较三组手术时间、住院时间、术后4周内疼痛、切口渗液、术后并发症发生率以及术后6个月随访各组括约肌功能、形成肛瘘的情况。结果 对比分析显示，三组在手术时间、住院时间、术后并发症发生率以及长期括约肌功能（6个月随访）方面均存在显著差异（P<0.05）。术后4周，观察组伤口恢复显著更优，其疼痛评分（0.97±0.69)及渗液评分（1.06±0.25)均显著低于单纯切开引流组（2.19±0.93，1.84±0.37）和挂线组（3.06±1.19，2.41±0.61）（P<0.05）。在肛瘘发生率方面，三组差异无统计学意义（P>0.05）。结论 基于高频及三维腔内超声探查结合多间隙引流术治疗复杂性肛周脓肿较单纯切开引流术、切开挂线术具有明显优势。
[关键词] 复杂性肛周脓肿；高频及三维腔内超声探查；多间隙引流术；单纯切开引流术；切开挂线术 |
| 英文摘要: |
| [Abstract] Objective To explore the clinical effect of using high-frequency and three-dimensional intracavitary ultrasound exploration combined with multi gap drainage surgery in the treatment of complex perianal abscess. Methods A total of 96 patients with complex perianal abscess who were treated at Jinan Huaiyin Hospital of Shandong Provincial Hospital from January 2020 to March 2022 were selected. They were divided into the group based on high-frequency and three-dimensional ultrasound exploration combined with multi gap drainage (the observation group，n=32), the simple incision and drainage surgery group(n=32), and the Incision-thread-drawing surgery group(n=32) by the random number table method. The operation time, hospital stay, pain within 4 weeks after the operation, incision exudation, incidence of postoperative complications, and the sphincter function and formation of anal fistula in each group during the 6-month follow-up after the operation were compared among the three groups. Results Comparative analysis revealed significant differences among the three groups in operative duration, hospital stay, postoperative complication rates, as well as long-term sphincter function (6-month follow-up) (P<0.05). At 4 weeks postoperation, the observation group demonstrated significantly improved wound recovery, with markedly lower pain（0.97±0.69) and exudation scores（1.06±0.25) compared to both simple incision drainage （2.19±0.93，1.84±0.37）and seton groups（3.06±1.19，2.41±0.61）(P<0.05). There was no statistically significant difference among the three groups in terms of anal fistula formation(P>0.05). Conclusion The treatment of complex perianal abscesses based on high-frequency and three-dimensional intracavitary ultrasound exploration combined with multi-space drainage has obvious advantages over simple incision and drainage and Incision-thread-drawing surgery.
[Key words] Complex perianal abscess; High frequency and three-dimensional intracavity ultrasound exploration; Multi gap drainage surgery; Simple incision and drainage surgery; Incision-thread-drawing surgery |
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