Clinical Study on Ultrasound-guided Catheter Drainage in Treatment of High Perianal Abscess
ZHANG Chen,LIN Hui,SUN Jian,GUI Yu-qiong
Shanghai Changning Tianshan Hospital of Traditional Chinese Medicine, Shanghai (200051), China
Abstract:
Objective To observe the clinical ef?cacy of ultrasound-guided catheter drainage in treatment of high perianal abscess. Methods The patients with high perianal abscess hospitalized (120 cases) were divided into treatment and control groups according to the digital random table method. The patients in treatment group were treated with catheterization under ultrasound guidance while the patients in control group were treated with regular catheterization. The anal pain and exudation after 3, 7 and 14 d of operation, bleeding, uroschesis, fever conditon, wound healing time, total effective rate after one month, recurrence rate and rate of anal ?stula formation after six month were compared. Results The patients in treatment group needed less wound healing time than the control group, with statistically signi?cant differences (P<0.01). The scores of anal pain and exudation after 3 d of operation had no signi?cant difference. The pain scores and exudation scores of the treatment group were less than the control group after 7 and 14 d of operation, with statistically signi?cant differences (P<0.05). The bleeding and uroschesis occurrence rate of two groups had no significant difference (P < 0. 05). The fever occurrence rate of treatment group was much lower than that in control group, with statistically significant difference (P<0.05). The total effective rate after one month in treatment group was signi?cantly higher than that in control group (P<0.05). Followed up for six month, the recurrence rates of the two groups were 3.33% and 8.33%, with no signi?cant difference (P>0.05), and the anal ?stula formation in treatment group was much less than that in control group, with signi?cant difference(P <0.05). Conclusion The pre-, mid- and postoperative of high perianal abscess catheterization under ultrasound intervenion was safe, feasible, valid, and worthy of clinic application.
