CAJ | 학술논문

目的探讨一次切开术结合HGH溶解止血纱布(以下称止血纱布)在治疗肛周脓肿中的疗效。方法自肛缘沿脓肿顶部两侧呈放射状梭形切开脓肿，寻找内口并切开，清理脓腔，止血纱布填塞脓腔，术后抗菌素应用，每日便后清洗换药，重新填塞止血纱布至痊愈。结果30例患者均治疗一次痊愈。结论一次切开术结合止血纱布治疗肛周脓肿具有疼痛轻，创面生长快，并发症少，病程短等特点；在本组病例中患者无明显疼痛、创面渗液少、脓腔生长快、无1例术后出血、无1例瘢痕挛缩、无1例肛门狭窄及失禁；术后随访1年，无1例复发。
목적탐토일차절개술결합HGH용해지혈사포(이하칭지혈사포)재치료항주농종중적료효。방법자항연연농종정부량측정방사상사형절개농종，심조내구병절개，청리농강，지혈사포전새농강，술후항균소응용，매일편후청세환약，중신전새지혈사포지전유。결과30례환자균치료일차전유。결론일차절개술결합지혈사포치료항주농종구유동통경，창면생장쾌，병발증소，병정단등특점；재본조병례중환자무명현동통、창면삼액소、농강생장쾌、무1례술후출혈、무1례반흔련축、무1례항문협착급실금；술후수방1년，무1례복발。
Probe into the medical ef ect of single incision with HGH gauze in treating perianal abscess. Methods Start incision from the top of abscess, search for a inside access and cut, clean the abscess, pack HGH gauze, use antibiotic after operation, clean the incision and reuse of antibiotic after daily excretion, repack HGH gauze til completely cured. Results Al 30 patients were completely cured by only single treatment. Conclusion The single incision with HGH gauze in treating perianal abscess has following advantages: less pain, less liquid excretion and quick recovery of operation surface. There is no case showing cicatricial contracture, anus stenosis and incontinence of feces. And there is no case of relapse during postoperative fol ow-up for 1 year.