肛周脓肿发病认知及临床治疗进展

Recent Advances in the Diagnosis and Clinical Treatment of Perianal Abscess

摘要: 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。

Abstract: 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.