肛周脓肿切开引流术后复发或肛瘘形成的影响因素分析OACSTPCD

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 sim-ple 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 forma-tion after incision and drainage surgery.Results Among the 160 cases,65 patients(40.62%)experienced postoperative ab-scess recurrence or anal fistula formation one year after surgery,and 95 patients(59.38%)were cured.Unifactorial and multi-variate 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 diar-rhea,deep abscess,gram-negative bacteria and horseshoe abscess may increase the risk of recurrence or anal fistula formation af-ter perianal abscess incision and drainage surgery.