Comparison of the efficacy of vacuum sealing drainage and low incision drainage in the treatment of high perianal abscess

Objective To compare the clinical efficacy of vacuum sealing drainage and low incision drainage in the treatment of high perianal abscess. Methods A total of 76 patients with high perianal abscess from July 2017 to July 2018 were enrolled in our hospital, and they were divided into group A and group B with the digital randomization method, 38 patients in each group. Group A was treated by vacuum sealing drainage, and group B was treated by low incision drainage. The clinical efficacy of the two groups was compared. Results The total effective rate of group A was 86.84%, and that of group B was 63.16%, with statistically significant difference between the two groups (P 0.05). VAS score [(4.25±1.59)] and Wexner score [(1.77±0.52)] in group A were all lower than those in group B [(6.35±1.76), (3.63±0.85)] (P 0.05); after the treatment, the level of TNF-α in the two groups were lower than those before the treatment, the level of EGF in the two groups were higher than those before the treatment, there were statistically significant differences between the two groups (P<0.05). Conclusions Vacuum sealing drainage and low incision drainage have a certain effect in the treatment of high perianal abscess. The effect of vacuum sealing drainage is more obvious, and has stronger protective capability of anal function, with less postoperative pain, faster healing speed, which is worth promoting. Key words: Vacuum sealing drainage; Low incision drainage; High perianal abscess; Efficacy