Clinical observation on the treatment of deep anorectal abscess with tension-free thread hanging method of top ostomy
Objective To observe the effect of tension-free thread hanging method of top ostomy in the treatment of deep anorectal abscess.Methods 30 patients with deep anorectal abscess were treated with tension-free thread hanging method of top ostomy.The postoperative effectiveness(duration of fresh granulation tissue acquisition and therapeutic effect),safety indicators(anal pain,moderate or above pain duration,postoperative moderate or above fever,postoperative urinary retention,postoperative hospitalization time,postoperative anal function),and follow-up results(postoperative wound healing time,abscess recurrence,and anal fistula formation)were observed.Results 90%(27/30)of the 30 patients was cured,10%(3/30)was improved(anal fistula formation),and the total effective rate was 100%.The duration of fresh granulation tissue acquisition was(7.1±0.9)d and postoperative hospitalization time was(4.3±1.2)d.The visual analogue scale(VAS)scores were(6.3±0.3),(4.5±0.8)and(2.0±0.5)at 24 h,7 d and 21 d respectively,and the duration of moderate or above pain was(3.2±1.3)d.There were 6 patients with moderate or above fever at 8 h postoperatively,3 patients with moderate fever or above at 24 h postoperatively,0 patient with moderate fever or above at 72 h postoperatively and 1 patient with urinary retention after surgery.Wexner assessment score of anal incontinence was(1.17±0.8)points.It took(33.2±2.2)d for the wound to heal completely.Follow-up results showed that 2 cases had recurrence of anorectal abscess after 6-33 months of follow-up.Conclusion Tension-free thread hanging method of top ostomy is effective and simple in treating deep anorectal abscess.It is an optional surgical procedure.
Deep anorectal abscessTop ostomyThread hanging methodDrainageSurgical procedures
万方数据
维普
