环状混合痔术后发生肛缘水肿的影响因素  

Influencing factors of anal edema after circular mixed hemorrhoids surgery

作　　者：沙振海 SHA Zhenhai(First Ward of Department of General Surgery of Yuanyang County People’s Hospital,Xinxiang 453500 Henan,China)

机构地区：[1]原阳县人民医院普外科一病区,河南新乡453500

出　　处：《中国民康医学》2022年第8期1-3,7,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析环状混合痔患者采取外剥内扎术治疗后发生肛缘水肿的影响因素。方法:回顾性分析2018年12月至2020年8月在该院行外剥内扎术治疗的83例环状混合痔患者的临床资料,观察环状混合痔术后肛缘水肿发生率,对可能导致患者术后发生肛缘水肿的危险因素依次进行单因素分析及Logistic回归分析。结果:术后2个月,83例患者术后发生肛缘水肿16例,发生率为19.28%;单因素分析显示,患者年龄、性别、病程、合并症、体质量指数(BMI)、术中松解肛门内括约肌情况及术前抗生素使用情况与术后肛缘水肿发生率无明显相关性(P>0.05);发生肛缘水肿患者术后发生感染、腹泻或便秘,伴肛门正中突出,切口缝合方式为人工缝合的占比均高于术后未发生肛缘水肿的患者,差异有统计学意义(P<0.05);Logistic回归分析显示,术后发生感染、腹泻或便秘,伴肛门正中突出及人工缝合切口均为环状混合痔术后发生肛缘水肿的独立危险因素(OR>1,P<0.05)。结论:术后发生感染、腹泻或便秘,伴肛门正中突出及人工缝合切口均为环状混合痔术后发生肛缘水肿的独立危险因素。Objective: To analyze influencing factors of anal edema of patients with circular mixed hemorrhoids after external dissection and internal ligation. Methods: The clinical data of 83 patients with circular mixed hemorrhoids treated by external dissection and internal ligation in our hospital from December 2018 to August 2020 were retrospectively selected. The incidence of anal edema was analyzed. The risk factors of anal edema after circular mixed hemorrhoids surgery were analyzed by univariate analysis and Logistic regression analysis. Results: 2 months after the surgery, 16 cases of anal edema occurred in 83 patients with circular mixed hemorrhoids with an incidence of 19.28%. The univariate analysis showed that the age, gender, course of disease, comorbidities, body mass index(BMI), intraoperative release of internal anal sphincter, and preoperative antibiotic use were not significantly correlated with the incidence of postoperative anal edema(P>0.05). The proportions of postoperative infection,diarrhea or constipation, median anus protrusion, and manual suture for the incision closure of the patients with postoperative anal edema were higher than those of the patients without postoperative anal edema, and the differences were statistically significant(P<0.05). Logistic regression analysis showed that postoperative infection, diarrhea or constipation, median anus protrusion and manual suture for the incision closure were the independent risk factors for anal edema after circular mixed hemorrhoids surgery(OR>1, P<0.05). Conclusions: The postoperative infection, diarrhea or constipation, median anus protrusion and manual suture for the incision closure are the independent risk factors for anal edema after circular mixed hemorrhoids surgery.

关 键 词：环状混合痔 外剥内扎术 术后 肛缘水肿 影响因素 

分 类 号：R659[医药卫生—外科学]