| 黄帝,马木提江·阿巴拜克热.复杂性肛瘘术后复发危险因素分析[J].安徽医药,2019,23(5):919-922. |
| 复杂性肛瘘术后复发危险因素分析 |
| Risk factors for recurrence after complex anal fistula surgery |
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| DOI：10.3969/j.issn.1009-6469.2019.05.021 |
| 中文关键词: 直肠瘘 挂线法 消化系统外科手术 复发 危险因素 |
| 英文关键词: Rectal fistula Thread-ligaring therapy Digestive system surgical procedures Recurrence Risk factors |
| 基金项目:国家自然科学基金(81460133) |
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| 摘要点击次数: 2292 |
| 全文下载次数: 879 |
| 中文摘要: |
| 目的 总结复杂性肛瘘术后复发的危险因素,提高复杂性肛瘘一次性手术治愈率。方法 回顾性分析2012年1月至2017年1月收治于新疆医科大学第一附属医院肛肠科,出院诊断为复杂性肛瘘手术病人358例,进行复发危险因素分析。结果 随访到的296例中有51例发生复发,复发率为17.23%。复发影响因素分析显示肛瘘手术史(OR＝20.345,6.668～62.070)、肛瘘挂线史(OR＝7.679,1.416～41.659)、高位肛瘘(OR＝3.548,1.299～9.696)、内口左侧(OR＝10.106,1.458～70.051)和右侧(OR＝6.489,1.050～40.111)为影响复发的独立影响因素。结论 高位复杂性肛瘘、肛瘘手术史、肛瘘挂线术后者复发率较高。完善肛瘘术前检查,选择合理手术方式,明确内口位置,加强规范术后换药等,对于临床上提高一次性治愈率意义重大。 |
| 英文摘要: |
| Objective To summarize the risk factors for recurrence after complex anal fistula surgery,improve the cure rate of complex anal fistula.Methods Clinical data of 358 complex anal fistula admitted for anorctal surgery in the First Hospital of Xinjiang Medical University from January 2012 to January 2017 were retrospectively analyzed.Results Of the 296 patients who were followed up,51 had recurrences,with a recurrence rate of 17.23%.The analysis of influencing factors of recurrence showed that the operation history of anal fistula (OR＝20.345,6.668-62.070),the thread-drawing history of anal fistula (OR＝7.679,1.416-41.659),high anal fistula (OR＝3.548,1.299-9.696),left internal orifice(OR＝10.106,1.458-70.051) and right side (OR＝6.489,1.050-40.111) were independent influencing factors of recurrence.Conclusions The recurrence rate of high complex anal fistula,operation history of anal fistula,anal fistula thread drawing and anal fistula complicated with perianal abscess was higher.In order to minimize postoperative recurrence and improve the cure rate of anal fistula,it is necessary to improve the preoperative examination of anal fistula,select a reasonable surgical method,determine the location of the internal orifice,and strengthen the standardization of dressing change after operation,which is of great significance to improve the clinical cure rate. |
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