Volume 1,Issue 3
Clinical Study on TROPIS Procedure Combined with Thread-Dragging and Cotton-Padding Therapy for the Treatment of Perianal Abscess
Objective: To evaluate the efficacy of TROPIS procedure combined with thread-dragging and cotton-padding therapy in the treatment of perianal abscess. Methods: Sixty patients were randomly divided into an observation group (n = 30) and a control group (n = 30) using a random number table. The observation group underwent the TROPIS procedure combined with thread-dragging and cotton-padding therapy, while the control group received conventional incision and drainage with standard postoperative care. Clinical efficacy, wound healing time, wound exudation score, pain score, anal function, and fistula formation rate were compared between the two groups. Results: The total effective rate was significantly higher in the observation group than in the control group. Wound exudation scores were lower in the observation group at postoperative days 5, 7, and 14, and the pain score was lower on day 14. The wound healing time was significantly shorter in the observation group compared to the control group. The incidence of fistula formation was significantly lower in the observation group. No statistically significant differences were observed in anal resting pressure or anal squeeze pressure between the two groups, while the Wexner score was lower in the observation group. Conclusion: The combination of TROPIS procedure and thread-dragging and cotton-padding therapy for perianal abscess can shorten wound healing time, reduce the risk of fistula formation, alleviate pain, and better preserve anal function, making it worthy of clinical promotion.
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