Clinical study of sphincter-preserving surgery combined with cutting seton and loose seton in the treatment of ischiorectal fossa abscess
10.3969/j.issn.1671-8348.2025.06.012
- VernacularTitle:切割挂线结合松弛挂线括约肌保留术治疗坐骨直肠间隙脓肿的临床研究
- Author:
Fujun CHEN
1
;
Shudong DAI
;
Zhi LI
;
Xiangjun YUAN
;
Chengshu LI
;
Yingjie CHENG
;
Ping HE
Author Information
1. 四川大学华西医院龙泉医院肛肠科,成都 610100
- Keywords:
traditional Chinese medicine seton therapy;
ischiorectal abscess;
sphincter-preserving sur-gery;
loose seton drainage;
efficacy;
anal function
- From:
Chongqing Medicine
2025;54(6):1345-1350
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of a sphincter-preserving technique combining cutting seton and loose seton drainage for the treatment of ischiorectal abscess.Methods A prospective ran-domized controlled trial was conducted involving 184 patients with ischiorectal abscess,who were randomly di-vided into an experimental group(n=92)and a control group(n=92).The experimental group underwent sphincter-preserving surgery combining cutting seton and loose seton drainage,while the control group re-ceived single-stage incision and seton drainage.Clinical outcomes,anal function,operative time,postoperative pain intensity,wound healing time,and pruritus ani were compared between the two groups.Results The sur-gical time of the experimental group was longer than that of the control group[31.50(25.00,40.00)min vs.20.00(20.00,30.00)min],and the difference was statistically significant(P<0.05).On postoperative days 1,3,and 7,the NRS scores for pain were lower than those in the control group,and the wound healing time was shorter than that in the control group[24.00(20.00,25.75)days vs.29.00(26.00,32.00)days],with statistically significant differences(P<0.05).The recent cure rate of the experimental group was lower than that of the control group(88.04%vs.94.57%),and the difference was not statistically significant(P>0.05).After follow-up,the long-term cure rate of the experimental group was lower than that of the control group(84.78%vs.93.48%),and the Wexner score for anal incontinence was lower than that of the control group[1.00(0.00,1.00)vs.1.00(0.00,2.00)],with statistically significant differences(P<0.05).Conclu-sion The sphincter-preserving technique combining cutting seton and loose seton drainage for ischiorectal ab-scess reduces postoperative pain,shortens wound healing time,and effectively protects anal function with reli-able short-term efficacy.However,further improvements are needed to enhance long-term clinical outcomes.
