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目的探讨糖尿病对肛瘘、肛周脓肿治疗效果的影响。方法将患者分为单纯肛瘘组(n=65)、单纯肛周脓肿组(n=69)、肛瘘合并糖尿病组(n=60)、肛周脓肿合并糖尿病组(n=58),观察治疗效果、创面渗液时间、创面愈合时间等指标。结果肛瘘、肛周脓肿合并组的治愈率分别为58.3%、55.2%,明显低于肛瘘组的83.1%(P<0.01)和肛周脓肿组的82.6%(P<0.01);合并组的创面渗液时间明显长于肛瘘组(P<0.01)和肛周脓肿组(P<0.01);合并组的创面愈合时间明显高于肛瘘组(P<0.01)和肛周脓肿组(P<0.01)。结论肛瘘、肛周脓肿合并糖尿病患者术前需要进行心理指导、血糖控制,术后重点要预防并发症。
Objective To investigate the effect of diabetes on the treatment of anal fistula and perianal abscess. Methods The patients were divided into simple anal fistula group (n = 65), simple perianal abscess group (n = 69), anal fistula with diabetes group (n = 60) and perianal abscess with diabetes group (n = 58) , Wound exudate time, wound healing time and other indicators. Results The cure rates of anal fistula and perianal abscess group were 58.3% and 55.2%, respectively, which were significantly lower than those of anal fistula group (83.1%, P <0.01) and perianal abscess group (82.6%, P <0.01) Perfusion time was significantly longer than that of anal fistula group (P <0.01) and perianal abscess group (P <0.01). Wound healing time of the combined group was significantly higher than that of anal fistula group and perianal abscess group (P <0.01). Conclusion Anal fistula and perianal abscess with diabetes require preoperative psychological guidance and blood sugar control, and postoperative complications should be prevented.