首页|清创引流联合负压封闭引流术治疗肛周坏死性筋膜炎70例疗效观察

清创引流联合负压封闭引流术治疗肛周坏死性筋膜炎70例疗效观察

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目的:探讨清创引流联合负压封闭引流术(VSD)治疗肛周坏死性筋膜炎的临床效果。方法:选取 2019 年 7 月至2023 年 7 月,本院收治的 140 例肛周坏死性筋膜炎患者,随机分为观察组和对照组,每组各 70 例。观察组采用清创引流联合VSD治疗,对照组采用清创引流术治疗。观察比较 2 组临床疗效及炎症因子水平。结果:治疗后,观察组临床有效率为97。14%,高于对照组的 82。85%(P<0。05),手术次数、抗生素使用时间与住院时间均低于对照组(P<0。05),白细胞、C反应蛋白水平均低于对照组(P<0。05)。结论:清创引流联合 VSD治疗肛周坏死性筋膜炎能够提高疗效,缩短住院时间,降低炎症因子水平,安全性较高。
Clinical Efficacy of Debridement and Drainage Combined with Vacuum Sealing Drainage in Treatment of 70 Cases of Perianal Necrotizing Fasciitis
Objective To investigate the clinical effect of debridement and drainage combined with vacu-um sealing drainage(VSD)in the treatment of perianal necrotizing fasciitis.Methods Total 140 patients with perianal necrotizing fasciitis admitted to our hospital from July 2019 to July 2023 were randomly di-vided into observation group and control group,with 70 cases in each group.The observation group was treated with debridement and drainage combined with VSD,while the control group was treated with de-bridement and drainage.The clinical efficacy and inflammatory factor levels of the two groups were ob-served and compared.Results After treatment,the clinical effective rate was 97.14%in the observation group,which was higher than 82.85%in the control group(P<0.05).The operation times,duration of antibiotic use and hospital stay of the observation group were lower than those of the control group(P<0.05).Leukocyte and C-reactive protein levels of the observation group were lower than those of the con-trol group(P<0.05).Conclusion Debridement and drainage combined with VSD in the treatment of perianal necrotizing fasciitis can improve the efficacy,shorten the hospital stay,reduce the inflammatory factor levels,and have high safety.

Perianal necrotizing fasciitisDebridement and drainageVacuum sealing drainageEfficacy

李新建、刘连成

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北京市肛肠医院/北京市二龙路医院肛肠科(北京 100120)

肛周坏死性筋膜炎 清创引流术 负压封闭引流术 疗效

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(6)