基于决策树分析肛瘘患者LIFT术后创面愈合不良的危险因素及预测价值

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中图分类号： R657.1+6 文献标识码：A文章编号：1006-1959（2025）16-0037-06

DOI：10.3969/j.issn.1006-1959.2025.16.006

RiskFactorsandPredictiveValueofPoorWoundHealinginAnalFistulaPatients AfterLIFTSurgeryBasedonDecisionTreeAnalysis

YE Xijie，DING Qifeng，LIU Guangzhao，WANG Jiaming （DepartmentofAnorectalSurgery，DongguanHospitalofIntegratedTraditionalChineseandWesternMedicine， Dongguan ，Guangdong，China）

Abstract：ObjectieTostuctecisiotreodeldotsfctosofoooudaitelgatiooftersctecsulatact （LIFinpsialfulaaldtiuefodeletdalataofatitsdidial forLFtreara2taospeeloodstt werdivideditooigoddaiUadtiaatsticealsstestg factorofodgisialiesdnctoselsdd thereceiveroperatinghracteriticueOC）waawtoverifepredictieccyofisiontreeodelResultsAmo patients，21 patients had poor wound healingand were included in the poor healing group，withan incidence of 21.00% . Univariate analysis showed thatdiabetesoidocdo levels were the influencing factors of wound healing（ P<0.05） .Logistic regressionanalysis showed that diabetes，constipation，postoperative infection， VEGF ⩽ 82.30 ng/L and S100A8>65.30 μg/μ were the influencing factors of postoperative wound healing（ P <0.05）.Based on the above factors，a decisiontreelssdtetfouaosiatioaeslisndoeaieio Constipatioastostimpoatotodearablendteostiporantprdictoeoondalingateofostiaoatitss （2号 53.10% .TheAUCoftedeisiontreepreditiomodelwas092（95%C.8599，P00l），essititywas0905，thesfityas 0.823，ndtheYoudenindexasO728.ConcusionPatientswithnalfstulahaveacertainiskofporwoundhealingafterLFtreatent. Diabetessioiddc factors has good predictive value.

KeyWords：Analfistula;Ligationofintersphinctericfistula;Poowoundhaling;Decsiontree;Iluencinfactors;Predictioodel

肛瘘高发于20～40岁人群，是肛门与肛管直肠周围皮肤的感染性瘘管，其中 80%～90% 为肛周间隙脓肿破溃或切开引流后遗留的慢性感染性病灶。（剩余8029字）