Clinical Study on the Treatment of Acute,Severe,and Difficult High Perianal Abscesses by Qingzhi Decoc-tion Sitz Bath Assisted Transanal Sphincterotomy(TROPIS)
Objective:To observe the clinical effect of Qingzhi Decoction sitz bath assisted transanal sphincterot-omy(TROPIS)in the treatment of acute,severe,and difficult high perianal abscess.Methods:A total of 80 pa-tients with high perianal abscess accompanied by sepsis were randomly divided into an observation group and a control group,with 40 cases in each group.The observation group was treated with Qingzhi Decoction sitz bath as an auxiliary treatment for TROPIS,while the control group was treated with mainstream surgical incision and thread-drawing surgery combined with potassium permanganate sitz bath.The intraoperative blood loss,postopera-tive pain duration,wound healing time,hospital stay,postoperative abscess recurrence rate,fistula formation rate,and anal function at 2 and 3 months after surgery between two groups were compared.Results:The observation group had less intraoperative bleeding compared with the control group,and the duration of postoperative pain,wound healing time,and hospitalization time were all shorter than those of the control group(P＜0.05).The Wexner scores of anal incontinence in the observation group were lower than those in the control group at 2 and 3 months after surgery(P＜0.05).There was no statistically significant difference in the recurrence rate of abscess and anal fistula formation rate between the two groups of patients at 3 months after surgery(P＞0.05).Conclu-sion:Qingzhi Decoction sitz bath assisted TROPIS has a definite effect on the treatment of high perianal abscess,with less damage to the anal sphincter,less intraoperative bleeding,mild postoperative pain,better protection of anal function and morphology,fast wound healing,and short hospital stay,which is worthy of clinical application and promotion.
High perianal abscessTransanal sphincterotomyQingzhi DecoctionTCM sitz bath
NETL
NSTL
万方数据
维普
