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| Efficacy of Incision Thread-drawing and Incision Drainage on High Horseshoe-shaped Perianal Abscess and Its Influence on VAS Score and Complications |
| TAN Zhen, QIN Pengpai, TIAN Lei |
| Beijing Rectum Hospital / Beijing Erlonglu Hospital, Beijing 100120, China |
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Abstract Objective: To explore the effects of incision thread-drawing and incision drainage on high horseshoe-shaped perianal abscess and its influence on VAS score and complications. Methods: 384 patients with high horseshoe-shaped perianal abscess treated in our hospital from January 2017 to December 2019 were retrospectively analyzed. Propensity score matching was used to successfully match the incision drainage group (control group, 92 cases) and the incision thread-drawing group (observation group, 92 cases) in accordance with the ratio of 1:1. The perioperative parameters, operative efficacy, postoperative recovery status [grading of incision redness and swelling, visual analogue scale (VAS)], incidence rate of complications, postoperative incision infection and recurrence within 3 months were compared between the two groups. Results: The operative time, postoperative recovery time, hospital stay and wound healing time in observation group were shorter than those in control group, and the hospitalization cost was lower than that in control group (P<0.05), and the good improvement rate was higher than that in control group (P<0.05), and the incidence rate of complications was lower than that in control group (P<0.05). At 7d after surgery, the grading of incision redness and swelling in observation group was better than that in control group, and the VAS score was lower than that in control group (P<0.05). The postoperative incision infection rate and recurrence rate within 3 months in observation group were lower than those in control group (P<0.05). Conclusion: Compared with incision drainage for high horseshoe-shaped perianal abscess, incision thread-drawing can effectively improve the operative efficacy, promote postoperative recovery, shorten hospital stay, relieve postoperative pain and incision redness and swelling, reduce occurrence of complications, and lower the postoperative infection and recurrence rate.
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2021, Vol. 27 
