一次性根治术治疗小儿肛周脓肿的临床效果分析
Clinical effect of one-time radical operation on perianal abscess in children
林必显1
作者信息
- 1. 福建医科大学附属漳州市医院小儿外科,福建 漳州 363000
- 折叠
摘要
目的 研究一次性根治术治疗小儿肛周脓肿的临床效果.方法 选取2019年1月—2022年12月期间收治的75例肛周脓肿患儿,按随机数字表法分为根治组(n=38)和保守组(n=37).保守组采用保守治疗,根治组采用一次性根治术,期间收集并分析患儿的治疗有效率、肛周功能、并发症等数据.结果 两组患儿治疗有效率差异无统计学意义(P＞0.05);治疗前两组患儿肛周功能评分无明显差异,在予以不同治疗后,两组患儿肛周功能评分均较治疗前有所降低,但组间差异均无统计学意义(P＞0.05);保守组并发症发生率低于根治组(P＜0.05).结论 在为肛周脓肿患儿进行治疗时,一次性根治术与保守治疗效果接近,但保守治疗造成并发症的风险更低,建议在实际治疗中借鉴.
Abstract
Objective To study the clinical effect of one-time radical operation on perianal abscess in children.Methods Seventy-five children with perianal abscess diagnosed and treated from January 2019 to December 2022 were selected and divided into a radical group(n=38)and a conservative group(n=37)according to random number table method.The conservative group was treated with conservative treatment,and the radical group was treated with one-time radical operation.The therapeutic effective rate,perianal function,complications,and other data were collected and analyzed.Results There was no significant difference in the therapeutic effective rate between the two groups(P＞0.05).There was no significant difference in perianal function scores before treatment,and after different treatments,the perianal function scores decreased in both groups,with no statistical difference between the two groups(P＞0.05).The complication incidence rate in the conservative group was lower than that in the radical group(P＜0.05).Conclusion In the treatment of children with perianal abscess,one-time radical surgery has the same effect as conservative treatment,but the risk of complications caused by conservative treatment is lower,so the conservative treatment is recommended to use in clinical treatment.
关键词
肛周脓肿/儿童/一次性根治术/有效率/肛周功能Key words
Perianal abscess/Children/One-time radical operation/Effective rate/Perianal function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据