Common complications and risk factors after hemorrhoid fistula surgery
[Objective]To analyze the common complications after hemorrhoid and fistula surgery and the risk factors for postoperative complications.[Methods]This study is a retrospective study,selecting 180 patients who underwent hemorrhoid and fistula surgery from January 2020 to December 2021 as the study subjects.The incidence of postoperative complications in the enrolled patients was statistically analyzed and the patients were divided into the occurrence group(n=50)and the non-occurrence group(n=130).General and clinical data of the two groups of patients were collected and compared,and risk factors that can lead to postoperative complications were summarized through statistical univariate analysis and logistic multiple factor regression analysis.Clinical intervention strategies based on the analysis results were explored.[Results]According to statistics,the incidence of postoperative complications in 180 patients was 27.78％(50/180),with anal edema being the most common at 70.00％(35/50).The results of statistical single factor analysis showed that in the 50 cases of occurrence group,women,age ≥60 years old,with diabetes,the focus was located in the middle of the anus,circular mixed hemorrhoids,no preventive use of antibiotics before surgery,no release of sphincter during surgery,no suture of incision after surgery,poor postoperative drainage,postoperative infection,poor postoperative defecation accounted for 60.00％(30/50),72.00％(36/50),44.00％(22/50),72.00％(36/50),70.00％(35/50),60.00％(30/50),68.00％(34/50),66.00％(33/50),84.00％(42/50),70.00％(35/50),36.00％(18/50),72.00％(36/50)were higher than those in the non-occurring group[38.46％(50/130),42.31％(55/130),23.08％(30/130),46.15％(60/130),44.62％(58/130),30.77％(40/130),42.31％(55/130),43.85％(57/130),47.69％(62/130),38.46％(50/130),17.69％(23/130),44.62％(58/130)](P＜0.05).Logistic regression analysis showed that age ≥60 years old,combined with diabetes,mixed hemorrhoids in the middle of the anus,no preventive use of antibiotics before surgery,no release of sphincter during surgery,no suture of incision after surgery,poor drainage after surgery,postoperative infection,and poor defecation after surgery were all risk factors for complications after hemorrhoid fistula surgery.[Conclusion]Circumferential mixed hemorrhoid patients with diabetes and the focus in the middle of the anus may have postoperative complications such as anal edema due to improper perioperative treatment or postoperative infection and poor defecation.Active treatment of the primary disease,standardized operation,and strengthened postoperative management are all important measures to reduce the risk of hemorrhoid fistula surgery.
hemorrhoid fistulaexternal stripping and internal ligationanal edemarisk factorsintervention strategies
万方数据
维普
