Leaper D J, Page R E, Rosenberg I L, Wilson D H, Goligher J C
Dis Colon Rectum. 1976 Jan-Feb;19(1):46-50. doi: 10.1007/BF02590851.
The treatment of anorectal abscess by deroofing and packing on an initial inpatient basis has been compared in a controlled trial with that of incision, curettage and primary suture under systemic antibiotic cover in the Accident and Emergency Department. Over a three-year period 219 patients with anorectal abscess were randomly allocated to one or other treatment and subsequently followed up in a rectal clinic. In terms of the time taken for complete healing and the periods lost from work postoperatively, the method of incision, curettage and primary suture under systemic antibiotic cover was found to be significantly superior, without any increased risk of recurrence of the abscess or of subsequent fistula formation.
在一项对照试验中，对最初住院时采用去顶和填塞法治疗肛门直肠脓肿与在急诊部全身应用抗生素覆盖下进行切开、刮除和一期缝合的方法进行了比较。在三年期间，219例肛门直肠脓肿患者被随机分配接受其中一种治疗方法，随后在直肠诊所进行随访。结果发现，在全身应用抗生素覆盖下进行切开、刮除和一期缝合的方法，在完全愈合所需时间和术后误工时间方面明显更优，且脓肿复发或随后形成肛瘘的风险没有增加。
