肛门直肠周围脓肿是肛肠外科的一种常见疾病,该病主要由肛腺感染引发,炎症沿括约肌间隙扩散,形成不同类型的脓肿,若处理不当或不及时,可进一步发展为慢性肛瘘。临床常使用手术治疗,传统的切开引流术依然是基础疗法,新的手术方式,如三间隙引流术等,逐渐得到应用。近年来针对术后康复与减轻疼痛的治疗逐渐成为该病中西医治疗的临床侧重点。Perianal Abscess is a prevalent condition in anorectal surgery, primarily initiated by the infection of anal glands. The inflammatory process tends to propagate along the spaces between the sphincter muscles, leading to various types of abscess formation. Without appropriate or timely intervention, this condition may progress to chronic anal fistula. Clinically, surgical management remains the mainstay of treatment, with traditional incision and drainage serving as the foundational approach. Recently, novel techniques such as three-space drainage have been increasingly adopted. In recent years, enhancing postoperative recovery and alleviating pain have become key focuses in both Western and Traditional Chinese Medicine for managing this disease.
环形混合痔属于混合痔疾病发展的最后阶段,临床主要以手术治疗为主,现代医学在选取环形混合痔的手术方式上较为丰富,针对性较高,但对于术后出现的疼痛、水肿等并发症的管理并没有一套系统的治疗方案。中医治疗环形混合痔术后并发症的独特方法,提出了内外兼治、辨证施治的方针,可以有效地防治环形混合痔术后并发症,缓解患者紧张焦虑的情绪,同时有利于提高患者术后的满意度,增强患者的自我管理能力,体现了中医在构建肛肠科疾病术后新发展格局中的独特作用,对增加对患者的人文关怀具有十分重要的意义。Annular mixed hemorrhoids belong to the last stage of the development of mixed hemorrhoids, and the clinical treatment is mainly based on surgery, modern medicine has a rich and targeted surgical method for selecting annular mixed hemorrhoids, but there is no systematic treatment plan for the management of postoperative pain, edema and other complications. The unique method of TCM in the treatment of postoperative complications of annular mixed hemorrhoids puts forward the policy of both internal and external treatment and syndrome differentiation treatment, which can effectively prevent and treat postoperative complications of annular mixed hemorrhoids, relieve patients’ nervous and anxious emotions, and at the same time help to improve patients’ postoperative satisfaction and enhance patients’ self-management ability, which reflects the unique role of TCM in constructing a new postoperative development pattern of anorectal diseases, and is of great significance to increase the humanistic care for patients.
