Comparison of effects of high-frequency ultrasound-guided percutaneous catheter drainage and incision and drainage in treatment of patients with superficial perianal abscess
Objective:To compare effects of high-frequency ultrasound-guided percutaneous catheter drainage and incision and drainage in treatment of patients with superficial perianal abscess. Methods:The clinical data of 70 patients with superficial perianal abscess admitted to this hospital from March 2021 to March 2024 were retrospectively analyzed. According to different surgical methods,they were divided into control group and observation group,35 cases in each group. The control group was treated with incision and drainage,while the observation group was treated with high-frequency ultrasound guided percutaneous catheter drainage. The clinical efficacy,the perioperative indexes (operation time,hospitalization time,postoperative ambulation time,wound healing time) levels,the pain[visual analogue scale (VAS)]score before and after the surgery,and incidence of complications were compared between the two groups. Results:The total effective rate of the observation group was 94.29% (33/35),which was higher than 71.43% (25/35) of the control group,and the difference was statistically significant (P<0.05). The operation time,postoperative ambulation time,wound healing time and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant (P<0.05). Seven days after the surgery,the VAS scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant (P<0.05). Further,the incidence of complications in the observation group was 5.71% (2/35),which was lower than 22.86% (8/35) in the control group,and the difference was statistically significant (P<0.05). Conclusions:High-frequency ultrasound guided percutaneous catheter drainage in the treatment of the patients with superficial perianal abscess can improve the total effective rate of treatment,improve the levels of perioperative indexes,and reduce the pain scores and the incidence of complications. Moreover,it is superior to incision and drainage treatment.
Superficial perianal abscessHigh-frequency ultrasoundPercutaneous catheter drainageIncision and drainagePainComplication