Efficacy of one-time radical surgery combined with new dressings in the treatment of perianal abscesses

ZHANG Zheng; WU Xixi; LIU Aili; TIAN Na; CAO Kai

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Medical Journal of the Chinese People Armed Police Forces ›› 2025, Vol. 36 ›› Issue (8) : 654-657.

ORIGINAL ARTICLES

Efficacy of one-time radical surgery combined with new dressings in the treatment of perianal abscesses

ZHANG Zheng¹, WU Xixi², LIU Aili¹, TIAN Na³, CAO Kai²

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Abstract

Objective To compare the therapeutic effects of one-time radical surgery combined with new dressings and traditional surgical methods in treating perianal abscess in young patients. Methods Fifty patients with perianal abscess admitted to Hubei Provincial Corps Hospital of Chinese People’s Armed Police Force from January 2023 to August 2024 were selected and randomly divided into an observation group （one-time radical surgery+new dressing） and a control group （traditional incision and drainage + vaseline gauze）,with 25 patients in each group. The wound healing time,number of dressing changes,pain score （assessed by VAS）, and the incidence of anal fistula were compared between the two groups. Results The average healing time of the observation group and the control group were [（13.36±6.26）d vs.（21.56±9.21）d,P<0.05], the number of dressing changes was (7.96±2.42) times compared to （15.40±6.33） times （P<0.05）, the pain score at 1 week after surgery were [（4.64±1.19）vs.（6.00±1.22）,P<0.05] in the observation group and the control group, and the incidence of anal fistula at 6 months after surgery were 8% vs 36% （P<0.01）, all of which showed statistically significant differences. Conclusions Combination therapy can significantly shorten wound healing time,reduce dressing changes, alleviate pain, and lower the incidence of anal fistula, especially suitable for the rapid recovery needs of young people.

Key words

perianal abscess / one-time radical surgery / new dressing / therapeutic effect / young male

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ZHANG Zheng, WU Xixi, LIU Aili, TIAN Na, CAO Kai. Efficacy of one-time radical surgery combined with new dressings in the treatment of perianal abscesses[J]. Medical Journal of the Chinese People Armed Police Forces. 2025, 36(8): 654-657

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