Abstract: ObjectiveTo analyze the clinical effect of three-gap drainage in the treatment of perianal abscess.MethodsA total of 94 perianal abscess patients were randomly divided into two groups. The observation group (n=49) were performed three-gap drainage treatment: Based on the incision of the abscess, the submucosal space between mucosal and internal sphincter, the musculus sphincter space between internal sphincter and external sphincter, and the external sphincter space located on the outside the sphincter were cut open and draining adequately. The control group (n=45) were performed incision-thread-drawing procedure. The effect, postoperative visual analogue scale (VAS) score, complication rate and patients' satisfaction rate were compared between two groups.ResultsThe cure rate and the improvement rate was 83.67% and 16.33% respectively in the observation group, and was 86.67% and 13.33% respectively in the control group, there was no statistical difference between two groups (P>0.05). No statistical difference was found in the VAS score of the first postoperative defecation between two groups (P>0.05), but the VAS score of 1-week after the operation appeared statistical difference, and the score of the observation group was significantly lower (P<0.05). No one was found abscess relapse. There was no statistical difference in the anal fistula formation rate between two groups (P>0.05), while the anal dysfunction rate was lower and the patients satisfaction rate was higher in the observation group than those in the control group (P<0.05).ConclusionThree-gap drainage is a feasible and effective method for the treatment of perianal abscess with the advantages of mild postoperative pain, protection of anus function and high patient satisfaction, which can be an ideal procedure for perianal abscess.
洪文，刘扬，杨博，张忠伟，路明. 三间隙引流术治疗肛周脓肿临床疗效观察[J]. 中国现代手术学杂志, 2017, 21(4): 265-268.
HONG Wen，LIU Yang,YANG Bo,ZHANG Zhong-wei,LU Ming. Clinical Research on Three-gap Drainage for Perianal Abscess. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 265-268.
King SK. Should we seek a fistula-in-ano when draining a perianal abscess?[J]. J Paediatr Child Health, 2010, 46(5):273-274. doi: 10.1111/j.1440-1754.2009.01694.x. |
2017, Vol. 21 
