肛瘘括约肌间瘘管结扎术后肛门功能恢复不良的影响因素分析  

Influencing Factors of Poor Recovery of Anal Function After Ligation of Intersphincteric Fistula Tract

作　　者：宋长伟 王慧军 韩俊杰 SONG Chang-wei;WANG Hui-jun;HAN Jun-jie(Yichuan County Hospital of Traditional Chinese Medicine,Luoyang,Henan 471300)

机构地区：[1]伊川县中医院,河南洛阳471300

出　　处：《中国肛肠病杂志》2025年第1期40-43,共4页Chinese Journal of Coloproctology

摘　　要：目的:探讨肛瘘括约肌间瘘管结扎术(LIFT)后肛门功能恢复不良的影响因素。方法:选取我院2020年3月至2023年10月收治的肛瘘患者70例作为研究参与者,统计分析患者手术前后肛门功能恢复情况,根据患者术后3个月的肛门功能恢复情况将其分为良好组52例和不良组18例。采用Logistic回归分析影响肛瘘患者LIFT后肛门功能恢复不良危险因素。结果:70例肛瘘患者中,18例(25.71%)术后肛门功能恢复不良,52例(74.29%)术后肛门功能恢复良好。2组患者的年龄、病程、瘘管长度、手术时间、术后疼痛持续时间、术后切口感染率、二次手术率、治疗依从性、术后机械性刺激率比较差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄(95%CI:1.050~1.911,P=0.006)、病程(95%CI:1.139~2.292,P=0.008)、瘘管长度(95%CI:1.547~3.570,P<0.001)、术后疼痛持续时间(95%CI:0.936~1.415,P=0.014)、术后切口感染率(95%CI:1.380~2.626,P<0.001)、二次手术率(95%CI:1.462~3.296,P<0.001)、治疗依从性(95%CI:1.256~2.478,P=0.001)、术后机械性刺激率(95%CI:1.407~2.850,P=0.008)为肛瘘患者术后肛门功能恢复不良的独立危险因素。结论:肛瘘患者LIFT后肛门功能恢复不良的独立危险因素包括年龄、病程、瘘管长度、手术时间、术后疼痛持续时间、术后切口感染率、二次手术率、治疗依从性以及术后机械性刺激率,在临床治疗和护理中应予以重视,并采取相应的预防和干预措施,以提高患者的术后恢复效果和生活质量。Objective To investigate the influencing factors of poor recovery of anal function after ligation of intersphincteric fistula tract(LIFT).Methods Total 70 patients with anal fistula admitted to our hospital from March 2020 to October 2023 were selected as the study participants.The recovery of anal function before and after operation was statistically analyzed.According to the recovery of anal function 3 months after operation,the patients were divided into the favorable group(52 cases)and the unfavorable group(18 cases).Logistic regression was used to analyze the risk factors affecting the poor recovery of anal function after LIFT in patients with anal fistula.Results Among 70 patients with anal fistula,18 cases(25.71%)had poor postoperative recovery of anal function,and 52 cases(74.29%)had good postoperative recovery of anal function.There were significant differences in age,course of disease,length of fistula,operation time,duration of postoperative pain,postoperative incision infection rate,secondary operation rate,treatment compliance,and postoperative mechanical stimulation rate between the two groups(P<0.05).Multivariate Logistic regression analysis showed that age(95%CI:1.050-1.911,P=0.006),course of disease(95%CI:1.139-2.292,P=0.008),length of fistula(95%CI:1.547-3.570,P<0.001),duration of postoperative pain(95%CI:0.936-1.415,P=0.014),postoperative incision infection rate(95%CI:1.380-2.626,P<0.001),and secondary operation rate(95%CI:1.462-3.296,P<0.001),treatment compliance(95%CI:1.256-2.478,P=0.001),and postoperative mechanical stimulation rate(95%CI:1.407-2.850,P=0.008)were independent risk factors for poor recovery of postoperative anal function in patients with anal fistula.Conclusion The independent risk factors for poor recovery of anal function after LIFT in patients with anal fistula include age,course of disease,length of fistula,operation time,duration of postoperative pain,postoperative incision infection rate,secondary operation rate,treatment compliance and postoperative mechanical stimulati

关 键 词：肛瘘 括约肌间瘘管结扎术 肛门功能 影响因素 

分 类 号：R65[医药卫生—外科学]