In The Mouth Of Extended Resection Of Sphincter Preservation Loose Thread-drawing Clinical Research Method For Low Intersphincteric Abscess

Background:perianal abscess is a common disease in anorectal, refers to the anus and the clearance of soft tissue infection purulent diseases, Chinese medicine called" anal carbuncle ". At present low perianal abscess incision and radical resection are used. But the incision and drainage, intersphincteric groove near in anal pressure, sphincter contraction frequency is high, resulting in feces, bacteria and other dirt intestinal cavity with easy access to the open wound, so that the granulation growth slow; and external anal wound without pollution growth, prone to bridge the healing. At the same time as the wound healing time is long, large, easy to impact on anal function, bring anguish to the patient. Modern research proves, external anal sphincter integrity, the integrity of the internal sphincter reflex, transanal local epithelial electrophysiological sensory and scar tissue caused by anal defects are the main factors that influence the anal continence function. So on this basis we design in the mouth of extended resection of sphincter preservation virtual thread-drawing drainage, looking forward to solve the above problems, the new trends in order to adapt to the modern surgical function protection and minimally invasive.Objective:Based on the healing of perianal abscess, minimizing the incidence of anal canal defect, functional anal protection, avoid false healing, at the same time as far as possible to shorten the length of time to reduce the suffering of patients, improve the quality of life and satisfaction of patients.Methods:30patients with low intersphincteric abscess patients, divided into two groups: treatment group and control group. Treatment group was in the mouth of extended resection of sphincter preservation virtual thread-drawing drainage, the control group using abscess incision and radical resection. The evaluation indexes include the time of wound healing after anal exhaust and, on stools, dry control, pain degree, wound secretions, urine retention.Results:the treatment group compared with control group, age, gender, total efficacy, recurrence rate, no statistically significant differences in pain and postoperative urinary retention (P>0.05), two groups of postoperative anal function score, wound healing time were significant differences (P<0.05).Conclusion:in the mouth of extended resection of sphincter preservation loose thread-drawing therapy for low intersphincteric abscess, in cure rate, recurrence rate, improve wound pain and discharge the same traditional open resection a. But in the maintenance of the anal function, shorten the wound healing time showed superiority.