CAJ | 학술논문

目的：探讨I期根治性手术治疗肛周脓肿术后复发或形成肛瘘的主要原因。方法对393例肛周脓肿患者采用一次性根治术治疗。结果术后随访3个月~2年,365例治愈,28例术后复发或形成肛周脓肿,主要原因是：内口找寻与处理不正确,术后换药不规范,患者伤口未愈即放弃换药,便后不愿坐浴,特殊感染等。结论提高肛周脓肿I期根治术成功率的关键是正确找寻并处理内口,术后换药应规范,加强健康教育,提高患者依从性,术后常规送分泌物培养或送病理检查。
목적：탐토I기근치성수술치료항주농종술후복발혹형성항루적주요원인。방법대393례항주농종환자채용일차성근치술치료。결과술후수방3개월~2년,365례치유,28례술후복발혹형성항주농종,주요원인시：내구조심여처리불정학,술후환약불규범,환자상구미유즉방기환약,편후불원좌욕,특수감염등。결론제고항주농종I기근치술성공솔적관건시정학조심병처리내구,술후환약응규범,가강건강교육,제고환자의종성,술후상규송분비물배양혹송병리검사。
Objective Exploration of the recurrence or anal fistula after radical surgery Stage I to cure the perianal ab-scess. Method Using radical surgery Stage I to treat 393 patients of the perianal abscess. Results 3 months to 2 years of post-operation follow-up:365 patients cured and 28 cases of recurrence or forming anal fistula . Major cause:Incorrect endosto-ma finding or not handled properly, unstandard post-operation dressing, stopping dressing before the wound healing, no hip bath after defecation, special infection, etc. Conclusion The key to improve the success rate of the radical surgery Stage I to cure the perianal abscess is to find and handle the endostoma correctly, to standardize the post-operation dressing and to enforce the health education and patients’ compliance for hip bath after defecation in time and routine postoperative send secretion culture or patho-logic examination.