Clinical Effect of One-time Incision and Radical Surgery and Simple Incision and Drainage Surgery in the Treatment of Perianal Abscess

FAN Hai; HAN Yi; LONG Qijun

doi:10.14033/j.cnki.cfmr.2025.17.010

Abstract：Objective:To compare the clinical efficacy of one-time incision and radical surgery and simple incision and drainage surgery in the treatment of perianal abscess.Method:The relevant data of 100 patients with perianal abscess admitted to Anshun People's Hospital from March 2019 to March 2023 were retrospectively analyzed.They were divided into two groups according to different surgical methods.In the radical group,54 cases were treated with one-time incision and radical surgery.In the drainage group,46 cases were treated with simple incision and drainage surgery.The treatment effect,anal function,pain and recurrence of perianal abscess were compared between the two groups.Result:The postoperative recovery time of the radical group was shorter than that of the drainage group,and the difference was statistically significant(P<0.05).Postoperative anal morphology scores were increased in both groups,but the radical group was lower than that in the drainage group,the anal incontinence scores were decreased,and the radical group was lower than that in the drainage group,the numerical rating system(NRS)scores of the radical group were lower than those in the drainage group at 2 d,3 d and 5 d after surgery,and the complication rate of the radical group was lower than that of the drainage group,the differences were statistically significant(P<0.05).There was no significant difference in recurrence rate at 6 months after operation between the two groups(P>0.05).Conclusion:Compared with simple incision and drainage surgery,one-time incision and radical surgery can promote the recovery of patients with perianal abscess,improve anal function,reduce postoperative pain and reduce postoperative complications.