摘要
目的调查肛周脓肿单纯切开引流术后近期复发率的情况,分析不同的预后因素与术后近期复发率的关系。方法选择2013年2月~2014年10月期间在我院诊断为肛周脓肿并行切开引流术的患者123例,用二元Logistic回归分析多因素与术后复发的关系。结果术后一个月内肛周脓肿复发率为29.27%,形成肛瘘率为75.6%。男女复发率相近,无明显差异(P>0.05)。单因素分析显示,年龄、BMI指数、脓肿深浅、肿痛病史、切排病史、糖尿病、发热是影响肛周脓肿术后近期复发的主要因素;多因素分析显示,深部的肛周脓肿及既往有过肛周肿痛病史与肛周脓肿术后近期复发密切相关(P<0.05)。结论深部脓肿或既往有过肿痛病史会增加肛周脓肿术后近期复发的风险,所以完善的术前检查,术中避免脓腔的残留,术后引流通畅,形成肛瘘后尽早手术,是避免肛周脓肿术后再复发的关键。
Objective This study aimed to investigate the relationship between early postoperative recurrence of anorectal abscess and different potential prognostic factors .Methods Between June 2012 and February 2014 ,123 patients with anorectal abscess underwent initial incision and drainage in our hospital . Multivariable logistic regression analysis was conducted to determine which variables were prognostic factors for early recurrence .Results During a follow-up of one month ,the cumulative incidence of recurrent abscess was 29.27 percent and the overall fistula formation rate was 75.60 percent.The result showed no difference between men and women in recurrence rate ( P >0 .05 ) .Multivariate logistic regression analysis on the prognostic factors(age,BMI,abscess depth,history of anal-abscess,history of drainage,diabetes mellitus, fever) for early recurrence revealed that abscess depth and history of anal-abscess were the two significant prognostic factors(P <0.05).No significant differences in risk of recurrence were noted for the rest of prognostic factors ( P >0 .05 ) .Conclusion Deep abscess and history of anorectal abscess significantly increased risk of postoperative early recurrent anorectal abscess .Simple drainage is properly not a good choice and drainage with fistulotomy is the better alternative choice to avoid early recurrent of abscess .
出处
《中华结直肠疾病电子杂志》
2015年第5期38-43,共6页
Chinese Journal of Colorectal Diseases(Electronic Edition)
基金
上海市中医药三年行动计划(ZYSNXD-YL-YSZK-008)
上海市"杏林新星"人才项目(ZYSNXD011-RC-XLXX-20130027)
关键词
脓肿
引流术
复发
预后
Abscess
Drainage
Recurrence
Prognosis
