高位肛瘘患者切开挂线引流术后创面愈合质量的影响因素分析  

Analysis of Related Factors Affecting the Quality of Wound Healing in Patients with High Anal Fistula after Incision and Thread Drainage Surgery

作　　者：姜丹丹 JIANG Dandan(Department of Surgery,Tianjin Hongqiao Hospital,Tianjin 300000,China)

机构地区：[1]天津市红桥医院外科,天津300000

出　　处：《中国伤残医学》2025年第1期67-70,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析影响高位肛瘘患者切开挂线引流术后创面愈合质量的危险因素。方法:回顾性分析2022年5月—2024年5月天津市红桥医院收治的100例行切开挂线引流术的高位肛瘘患者的病历资料,根据术后创面愈合情况将其分为创面愈合不良组(n=18)及创面愈合良好组(n=82)。收集患者的一般资料,采用Logistic回归模型分析影响高位肛瘘患者切开挂线引流术后创面愈合质量的高危因素。结果:100例高位肛瘘患者切开挂线引流术后共有18例(18.00%)创面愈合不良,82例(82.00%)创面愈合良好。单因素分析结果显示:年龄、饮酒史、糖尿病、便秘、术后感染、营养不良与高位肛瘘患者切开挂线引流术后创面愈合质量有关(P<0.05)。Logistic回归分析结果显示:年龄>60岁、有饮酒史、有糖尿病、便秘、术后感染、营养不良是导致高位肛瘘患者切开挂线引流术后创面愈合不良的高危因素(P<0.05)。结论:造成高位肛瘘患者切开挂线引流术后创面愈合不良的有关影响因素较多,如年龄>60岁、有饮酒史、有糖尿病、有便秘、有术后感染、有营养不良,临床需重点关注具备以上高危因素的患者情况,及时进行干预治疗。Objective:To analyze the risk factors affecting the wound healing quality of patients with high anal fistula after incision and thread hanging drainage.Methods:The medical records of 100 patients with high anal fistula after incision and thread drainage surgery in Tianjin Hongqiao Hospital from May 2022 to May 2024 were retrospectively analyzed.According to the postoperative wound healing,they were divided into a poor incision wound group(n=18)and a good incision wound group(n=82).General data of the patients were collected.Logistic regression model was used to analyze the risk factors affecting the quality of postoperative wound healing in high anal fistula patients after incision and thread drainage surgery.Results:Among 100 patients with high anal fistula,18 cases(18.00%)had poor wound healing and 82 cases(82.00%)had good wound healing.The result of univariate analysis showed that age,drinking history,diabetes mellitus,constipation,postoperative infection and malnutrition were related to the quality of wound healing in patients with high anal fistula after incision and thread drainage surgery(P<0.05).The result of Logistic regression analysis showed that age>60 years old,history of alcohol consumption,diabetes,constipation,postoperative infection and malnutrition were the risk factors for poor wound healing in patients with high anal fistula after incision and thread drainage surgery(P<0.05).Conclusion:There are many related factors that cause poor incision healing in patients with high anal fistula after incision and thread drainage surgery,such as age>60 years old,drinking history,diabetes,constipation,postoperative infection,and malnutrition.Clinical attention should be paid to patients with the above high risk factors and timely intervention treatment.

关 键 词：高位肛瘘 切开挂线引流术 创面愈合 

分 类 号：R671[医药卫生—外科学]