The effect of incision and drainage on the postoperative anal fistula formation rate in the treatment of perianal abscess
切开挂线术与切开引流术治疗肛周脓肿对其术后肛瘘形成率的影响

摘要

目的 对肛周脓肿治疗时采用切开挂线术和切开引流术的实际效果进行探究。方法 从2021年8月开始直至2023年8月，于该时间范围内在青海省中医院筛选出60例肛周脓肿患者，根据手术方案分组，对照组（n=30，切开引流术）、研究组（n=30，切开挂线术），比较临床治疗结果的差异性。结果 研究组手术、住院及创面愈合等时间相较对照组更短，P＜0.05；术后并发症总发生概率（3.33%）较对照组（20.00%）更低，P＜0.05。结论 应用切开挂线术的治疗效果更加确切，相较于切开引流术，能够明显降低肛周脓肿患者术后肛瘘的形成风险，可加快患者的康复进程，意义显著，建议推广应用。

Abstract

Objective To explore the actual effects of incision and drainage techniques in the treatment of perianal abscess.
Methods From August 2023 to August 2024, 60 patients with perianal abscess were screened at Qinghai Provincial Traditional Chinese Medicine Hospital. According to the surgical plan, they were divided into a control group (n=30, incision and drainage surgery) and a study group (n=30, incision and suture surgery), and the differences in clinical treatment results were compared.
Results The study group had shorter surgery, hospitalization, and wound healing times compared to the control group, with P<0.05; The total probability of postoperative complications (3.33%) was lower than that of the control group (20.00%), with P<0.05.
Conclusion   The application of incision and thread drawing surgery has a more precise therapeutic effect. Compared with incision and drainage surgery, it can significantly reduce the risk of anal fistula formation in patients with perianal abscess after surgery, accelerate the recovery process of patients, and has significant significance. It is recommended to promote its application.