İleri Yaş Perianal Fistül Nüksünü Artırıyor Mu?

Year 2017, Volume: 14 Issue: 2, 124 - 127, 31.08.2017

Orhan Gözeneli Faik Tatlı Yusuf Yücel Ali Uzunköy

Abstract

Giriş ve Amaç: Perianal fistüller zor tedavi edilen
hastalıklardan birisidir. Genellikle tanısı kolaydır; ancak
ilave tetkikler gerekebilir. Yara iyileşmesinde yaş çok
önemli bir faktör olarak karşımıza çıkmaktadır. Bu
çalışmamızda, ileri yaşın perianal fistül nüksü ile bir ilgisi
olup olmadığını inceledik.
Yöntem ve Gereçler: Ocak-2010 ve Ocak-2016 tarihleri
arasında fistülotomi+küretaj yapılan 242 hasta geriye
dönük olarak incelendi. Bunlardan 18’i nüks nedeniyle en
az iki defa daha(13 hasta iki, 5 hasta üç kez) opere
edilmişti. Bu hastaların cinsiyet, yaş, fistül tipi ve dış
ağzının anal kanala uzaklığı retrospektif olarak kaydedildi.
Bulgular: Grup 1ve Grup 2’yi karşılaştırdığımızda
cinsiyet, fistül dış ağzının anal kanala olan mesafesi ve
fistül tipi açısından istatistiksel olarak anlamlı bir fark
bulunmadı. Bunun yanında ileri yaşın, fistül nüks
sıklığında etkili olduğuna dair istatistiksel olarak bir fark
tespit edilemedi.
Tartişma ve Sonuç: Yaptiğimiz bu çalişmada perianal
fistüllerin nüksünde yaş, cinsiyet, fistül ağzinin uzakliği ve
fistül tipi etkili gibi görünmemektedir. yara iyileşmesinde
yaş, önemli bir faktör olarak karşimiza çikmaktadir, fakat
bu çalişmada fistül nükslerine olan etkisi istatistiksel olarak
anlamli bulunamamiştir. 

Keywords

Anal Fistül, Hücre Yaşlanması, Nüks

Does Advanced Age Increase the Recurrence of Perianal Fistulas?

Abstract

Introduction: Perianal fistulas are diseases that treated
difficulty. It is usually easy to diagnose; but it may need
additional tests. Age is an important factor in wound
healing. In this study, we examined whether the advanced
age has a relevance with the recurrence of perianal fistula.
Methods: There were 242 patients between January 2010
and January 2016 with fistulotomy + curettage. These
patients had been operated at least twice because of the
recurrences(13 patients two times and 5 patients three
times). These patients' gender, age, type of fistula and
distance from external opening to the anal canal was
recorded, retrospectively.
Results: When comparing Group 1 and Group 2; was not
statistically significant in terms of the gender, distance
from external opening of the fistula to the anal canal and
fistula type. In additionally, there was no statistically
significant difference with advanced age.
Discussion and Conclusion: In this study we found that;
age, gender, distance from the opening of the fistula to the
anal canal and fistula type do not seem influential in the
recurrence of perianal fistulas. Age has emerged as an
important factor in wound healing but in this study, it was
not statistically significant at fistula recurrence.
Keywords: 

Keywords

Anal Fistula, Cell Senescence, Relapse

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