肛周脓肿切开引流术后复发或肛瘘形成的影响因素分析

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摘要目的分析肛周脓肿切开引流术后复发或肛瘘形成的危险因素。方法回顾性分析2021-10至2023-12医院收治的160例肛周脓肿行单纯性切开引流术的病例资料,根据临床结局分为复发组与痊愈组,对两组临床资料进行比较,并采用多因素Logistic回归分析脓肿切开引流术后复发或肛瘘形成的危险因素。结果 160例中,术后1年95例(59.38%)治愈,65例(40.62%)术后脓肿复发或肛瘘形成。单因素及多因素分析发现,慢性腹泻史(OR=2.045,P=0.015)、深部位脓肿(OR=0.511,P=0.025)、革兰氏阴性菌(OR=3.725,P=0.012)、马蹄形脓肿(OR=2.324,P=0.009)是肛周脓肿切开引流术后复发或肛瘘形成的危险因素。结论慢性腹泻史、深部位脓肿、革兰氏阴性菌和马蹄形脓肿均会增加肛周脓肿切开引流术后复发或肛瘘形成的风险。

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	董翔宇
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	李壮
	孙艳军

关键词 ：肛周脓肿, 复发, 肛瘘, 危险因素

Abstract：Objective To explore the risk factors on the recurrence or anal fistula formation after incision and drainage of perianal abscess. Methods A retrospective analysis was conducted on the data of 160 patients of perianal abscess treated by simple incision and drainage surgery in a hospital from January 2021 to December2023. According to clinical outcomes, all patients were divided into a recurrence / anal fistula group and a recovery group. The differences in clinical data between the two groups were compared, and multiple logistic regression analysis was used to identify the risk factors for recurrence or anal fistula formation after incision and drainage surgery. Results Among the 160 cases, 65 patients (40.62%) experienced postoperative abscess recurrence or anal fistula formation one year after surgery, and 95 patients (59.38%) were cured. Unifactorial and multivariate analysis showed that the history of chronic diarrhea (OR=2.045, P=0.015), deep abscess (OR=0.511, P=0.025), gram-negative bacteria (OR=3.725, P=0.012), and horseshoe abscess (OR=2.324, P=0.009) are risk factors for recurrence or anal fistula formation after incision and drainage of perianal abscess. Conclusions The History of chronic diarrhea, deep abscess, gram-negative bacteria and horseshoe abscess may increase the risk of recurrence or anal fistula formation after perianal abscess incision and drainage surgery.

Key words： perianal abscess recurrence anal fistula risk factor

收稿日期: 2024-04-10

ZTFLH:

R657.15

通讯作者: 孙艳军,E-mail:syx080222@163.com

作者简介: 董翔宇,本科学历,主治医师。

引用本文:

董翔宇, 杨柳生, 孙登群, 韩林, 李壮, 孙艳军. 肛周脓肿切开引流术后复发或肛瘘形成的影响因素分析[J]. 武警医学, 2024, 35(10): 857-859. DONG Xiangyu, YANG Liusheng, SUN Dengqun, HAN Lin, LI Zhuang, SUN Yanjun. Analysis of influencing factors on recurrence or anal fistula formation after incision and drainage of perianal abscess. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(10): 857-859.

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https://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 https://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2024/V35/I10/857