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切开引流术治疗肛周脓肿术后中长期复发的影响因素分析

贾善勇 秦澎湃 刘风祝 曾华平

结直肠肛门外科2017,Vol.23Issue(3):311-315,5.
结直肠肛门外科2017,Vol.23Issue(3):311-315,5.

切开引流术治疗肛周脓肿术后中长期复发的影响因素分析

The riskfactorsof incision and drainage in the treatment of middle and longterm recurrence of anal abscess

贾善勇 1秦澎湃 2刘风祝 1曾华平1

作者信息

  • 1. 北京市丰台中西医结合医院普外科 北京100072
  • 2. 北京市肛肠医院外一科 北京100072
  • 折叠

摘要

Abstract

Objective To study the riskfactors of mid-and-long term recurrence after incision and drainage in patients with anal abscess.Methods The clinical data of 122 patients with anal abscess undergoing incision and drainage were retrospective analyzed.The follow-up were between the recurrence group (n =47)and control group (n =75).Gender,age,body mass index (BMI),diabetes,the depth of the abscess,previous history of the anus abscess,source of pathogenic bacteria and surgical approach of two groups were compared.Risk factors of mid-and long term recurrence after operation were analyzed by COX model.Results Gender,age and BMI were not statistically significant between two groups (P > 0.05).History of diabetes,deep abscess,history of anus abscess,infection of intestinal flora,and the proportion of patients with simple incision and drainage inthe recurrence group [57.45%,63.83%,63.83%,61.70%,65.96%,respectively]were significantly higher than those in the control group (P < 0.05).The result of multivariate COX analysis showed that the history of anus abscess,intestinal bacterial infection,and simple incision and drainage were the risk factors for mid-and long term recurrence after incision and drainage of abscess.Conclusion History of perianal abscess,intestinal flora,simple incision and drainage were the risk factors of mid-and long-term recurrence of anal abscess incision and drainage.

关键词

肛周脓肿/切开引流术/复发/影响因素

Key words

abscess of anus/incision and drainage/recrudescence/influence factors

分类

医药卫生

引用本文复制引用

贾善勇,秦澎湃,刘风祝,曾华平..切开引流术治疗肛周脓肿术后中长期复发的影响因素分析[J].结直肠肛门外科,2017,23(3):311-315,5.

结直肠肛门外科

OACSTPCD

1674-0491

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