Lin Hui
Department of Anorectal Surgery, Shanghai Tianshan Traditional Chinese Medicine Hospital, Shanghai 200051, China.
Zhong Xi Yi Jie He Xue Bao. 2009 Dec;7(12):1119-22. doi: 10.3736/jcim20091205.
Tunnel thread-drawing therapy is an effective treatment for complex anal fistula, and this therapy may be used for horseshoe-shaped low-position perianal abscess.
To analyze the therapeutic effects of tunnel thread-drawing therapy in treatment of horseshoe-shaped low-position perianal abscess.
DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: A total of 68 patients with horseshoe-shaped low-position perianal abscess were from Department of Anorectal Surgery, Shanghai Tianshan Traditional Chinese Medicine Hospital, and were randomly divided into treatment group and control group. There were 34 cases in each group. The patients in the treatment group received thread-drawing therapy and the patients in the control group received multiple incisions and drainage.
Lasting time of postoperative pain, healing time of incision, average area of the wound scar, anal function and postoperative recurrence were observed in the two groups. Late postoperative follow-up was from half a year to three years.
The lasting time of postoperative pain and healing time of incision in the treatment group were shortened as compared with those in the control group (P<0.01). There was no significant difference in postoperative recurrence rate between the two groups (P>0.05).
There is a significant curative effect of tunnel thread-drawing therapy in treatment of horseshoe-shaped low-position perianal abscess.
隧道式拖线疗法是治疗复杂性肛瘘的有效方法，该疗法也可用于马蹄形低位肛周脓肿。
分析隧道式拖线疗法治疗马蹄形低位肛周脓肿的疗效。
设计、场所、参与者和干预措施：68例马蹄形低位肛周脓肿患者均来自上海天山中医医院肛肠科，随机分为治疗组和对照组，每组34例。治疗组患者采用拖线疗法，对照组患者采用多切口引流术。
观察两组患者术后疼痛持续时间、切口愈合时间、伤口瘢痕平均面积、肛门功能及术后复发情况。术后随访半年至3年。
与对照组比较，治疗组术后疼痛持续时间及切口愈合时间缩短（P<0.01）。两组术后复发率比较，差异无统计学意义（P>0.05）。
隧道式拖线疗法治疗马蹄形低位肛周脓肿疗效显著。
