Objective:To observe the effect of incision thread-drawing counter-drainage on wound healing and anal function in patients with perianal abscess.Methods:Sixty patients with perianal abscess who were treated at the hospital from May 2021 to April 2024 were selected and randomly assigned to the control group and the experimental group,with 30 cases in each group.The control group underwent conventional incision and drainage,while the observation group underwent incision thread-drawing counter-drainage.Therapeutic effects,wound healing,anal function and the incidence of complications within one month after surgery were compared between the two groups.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Surgery time of the two groups was similar(P>0.05).Wound healing time and hospital stay of the observation group were significantly shorter(P<0.05).After surgery,there were significant decreases in resting anal canal pressure and resting rectal pressure,and significant increases in the maximum anal contraction pressure in both groups.Compared with the control group,the observation group had significantly lower resting anal canal pressure and resting rectal pressure,and significantly higher maximum anal contraction pressure(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Incision thread-drawing counter-drainage is effective in the treatment of patients with perianal abscess.It can effectively shorten wound healing time,with little influence on anal function.Besides,the risk of complications is low.
关键词
切开挂线对口引流术/肛周脓肿/创面愈合/肛门功能
Key words
Incision thread-drawing counter-drainage/Perianal abscess/Wound healing/Anal function