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Three-cavity clearance(TCC)can decrease the fistula rate after drainage of a perianal abscess:a case–control study

Gastroenterology Report 2018年第3期6卷 221-224,I0003页

作者： Heiying Jin Yan Chen Bei Zhang Department of Colorectal Surgery The Second Affiliated Hospital of Nanjing University of Chinese MedicineNanjingChina Graduate School of Nanjing University of Chinese Medicine NanjingChina Department of Colorectal Surgery The Third Affiliated Hospital of Nanjing University of Chinese MedicineNanjingChina

Objective:The aim of this study was to evaluate the safety and efficacy of three-cavity clearance(TCC)used for the treatment of perianal ***:A case–control study of patients with perianal abscess was conducted at the Second and Third Affiliated Hospitals of Nanjing University of Chinese Medicine from June 2013 to March *** data from 46 patients who had TCC were *** the same time,46 patients had simple incision and drainage and 46 patients had abscess drainage and cutting seton(radical abscess incision);the data from these patients were also *** length of hospital stay,time of wound healing,fistula rate and anal incontinence were ***:The rate of fistula formation in the TCC group was 13.0%—significantly lower than that in the group with simple incision and drainage(39.1%,p0.05).Two patients(4.3%)in the group with radical abscess incision had anal incontinence,flatus and soiling;their Wexner scores were 6 and 3,*** was no anal incontinence in the TCC group or the simple incision and drainage *** were no statistical differences in the time of wound healing and length of hospital stay among the three groups(both p>0.05).Conclusion:TCC is a safe and effective sphincter-preserving procedure for perianal abscess formation and can decrease the fistula rate after perianal abscess *** appears to be a valuable method that can be used in clinical practice;however,further studies are needed to verify this finding.

关键词： Three-cavity clearance(TCC) perianal abscess anal fistula drainage cutting seton

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