Clinical study on the treatment of high perianal abscess with floating line drainage through small incision
10.3760/cma.j.cn115455-20230511-00504
- VernacularTitle:高位肛周脓肿经小切口挂浮线引流术治疗的临床效果观察
- Author:
Desheng ZOU
1
;
Lifeng LU
;
Yingfeng ZHU
;
Jiayang ZHOU
;
Yuan BIAN
;
Guang LIU
Author Information
1. 绍兴市中心医院医共体总院肛肠科，绍兴 312030
- Keywords:
Anus diseases;
Abscess;
Treatment outcome;
Floating line drainage surgery
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(12):1148-1152
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy of small incision floating line drainage for the treatment of high perianal abscess.Methods:A retrospective analysis was conducted on the clinical data of 95 patients with high perianal abscess treated at the Medical Community General Hospital of Shaoxing Central Hospital from April 2019 to April 2021. Among them, 47 cases were treated with small incision floating line drainage (experimental group), and 48 cases were treated with conventional multi incision drainage (control group). The surgical time, intraoperative bleeding, postoperative pain, urination status, anal function evaluation, wound healing status and the clinical efficacy of the patient after 2 months of treatment were compared between the two groups.Results:The surgical time, intraoperative bleeding volume in the experimental group were lower than those in the control group: (18.70 ± 0.48) min vs. (38.10 ± 2.52) min, (32.35 ± 3.56) ml vs. (51.56 ± 6.24) ml, there were statistical differences ( P<0.05). The postoperative pain, urination status, anal function evaluation in the experimental group were better than those in the control group. In the experimental group, multiple incision drainage had a greater impact on patients and the wound healing cycle was longer. After treatment for 2 months, the total effective rate in the experimental group was better than that in the control group: 100.00%(47/47) vs. 91.67%(44/48), there was statistical difference ( χ2 = 4.09, P<0.05). Conclusions:Patients with high perianal abscess and treated with small incision floating line drainage has a shorter wound healing cycle, less pain, lower anal damage, and better clinical efficacy.
