中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (09): 746-748.

• 论著 • 上一篇    下一篇

肛周深间隙脓肿术后负压球持续引流临床研究

潘友珍，甄金霞，郑振麟   

  1. 上海市浦东新区公利医院肛肠科，上海 200135
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-09-01 发布日期:2009-09-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-09-01 Published:2009-09-01

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摘要：

目的 探讨一次性负压球引流在肛周深间隙脓肿术后的临床效果。方法 将2007年1月至2008年8月上海市浦东新区公利医院收治的60例肛周深间隙脓肿术后病人随机分为负压球引流组（治疗组，n=30）和凡士林纱条引流组（对照组，n=30），分别比较术后两组病人的疼痛情况、止痛剂使用情况、术后引流情况、创面愈合时间等，并于创面愈合后3、6、12个月进行随访，观察后遗肛瘘情况。结果 治疗组的换药疼痛积分情况、止痛剂应用情况、创面愈合时间均低于对照组（P<0.01）；术后6及12个月治疗组后遗肛瘘率低于对照组（P<0.01）。结论 一次性负压球非常适合应用于肛周深间隙脓肿的术后引流。

关键词: 肛周深间隙脓肿, 负压球

Abstract:

Application of negative pressure ball drainage on the perianal abscess in deep parapharyngeal space : a study of curative effect PAN You-zhen, ZHEN Jin-xia, ZHENG Zhen-lin. Department of Proctology Surgery, Gongli Hospital of Pudong New Area, Shanghai 200135, China. Corresponding author: ZHEN Jin-xia, E-mail: zhenjinxia8@163.com Abstract Objective To study the clinical effect of the negative pressure ball drainage in the application of postoperative perianal abscess in deep parapharyngeal space. Methods The 60 patients with perianal abscess in deep parapharyngeal space admitted between January 2007 and August 2008 at Gongli Hospital of Pudong New Area of Shanghai City were randomly divided into negative pressure ball group (treatment group n=30) and vaseline gauze group (control group n=30). Occurrence of pain, postoperative analgesic, postoperative drainage and wound healing time were compared respectively. Follow-up was performed in 3 months, 6 months and 12 months after the operation in order to observe the occurrence of secondary anal fistula. Results Occurrence of pain, postoperative analgesic, postoperative drainage and wound healing time of treatment group was lower than those of the control group (P <0.01). Incidence of secondary anal fistula of treatment group was lower than that of the control group (P <0.01). Conclusion Negative pressure ball is very suitable for postoperative drainage of perianal abscess in deep parapharyngeal space.

Key words: perianal abscess in deep parapharyngeal space, negative pressure ball