İleri Yaş Perianal Fistül Nüksünü Artırıyor Mu?

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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