探讨腺源性肛瘘经手术治疗后创面愈合困难的危险因素。

回顾性分析2020年1月至2023年3月期间收治114例腺源性肛瘘患者资料。均行手术治疗，依据术后创面愈合情况将患者分为愈合良好组（n=93）及愈合困难组（n=21）。使用SPSS 22.0统计学软件进行分析，计量资料以()表示，采用独立样本t检验；计数资料以 [例(%)]呈现，采用χ²检验；通过单因素及多因素Logistic回归分析腺源性肛瘘经手术治疗后创面愈合困难的影响因素。P<0.05为差异有统计学意义。

对所有患者进行随访4周，创面愈合困难有21例(18.4%)，创面愈合良好有93例(81.6%)；年龄>60岁、有糖尿病史、合并便秘、合并术后创面细菌感染、术后抗生素使用种类>2种、创面存在引流不畅均为影响腺源性肛瘘经手术治疗后创面愈合的相关危险因素(P<0.05)。

腺源性肛瘘经手术治疗后创面愈合困难的发生风险较大，其危险因素较多，临床应针对危险因素采取针对性干预措施，以提升预后效果。

To investigate the risk factors of wound healing difficulties after surgical treatment of adenogenic anal fistula.

Data of 114 patients with adenogenic anal fistula admitted from January 2020 to March 2023 were retrospectively analyzed. All patients underwent surgical treatment. According to postoperative wound healing, the patients were divided into good healing group (n=93) and difficult healing group (n=21). SPSS 22.0 statistical software was used for analysis. Measurement data were represented by () and independent sample t test was used. Counting data were presented as [n (%)] and χ² test was adopted. Univariate and multivariate Logistic regression were used to analyze the influencing factors of wound healing difficulties after surgical treatment of adenogenic anal fistula. P<0.05 was considered statistically significant.

All patients were followed up for 4 weeks, 21 cases (18.4%) had difficulty in wound healing and 93 cases (81.6%) had good wound healing. Age >60 years old, history of diabetes, constipation, bacterial infection of postoperative wound, antibiotic use >2 kinds, and poor drainage of wound were all risk factors affecting wound healing after surgery for adenogenic anal fistula (P<0.05).

The risk of wound healing difficulties after surgical treatment of adenogenic anal fistula is greater, and there are many risk factors. Clinical intervention measures should be taken according to the risk factors to improve the prognosis.