与以色列南部地区的犹太人相比，贝都因人肛周脓肿的发病率较高。
High occurrence of perianal abscess among Bedouin compared to Jews in the southern region of Israel.
作者信息
Czeiger David, Shaked Gad, Igov Igor, Pinsk Ilia, Peiser Jochanan, Sebbag Gilbert
机构信息
Department of Surgery, Soroka University Medical Center and Ben-Gurion University of the Negev, Beer-Sheva, Israel.
出版信息
BMC Surg. 2013 Sep 12;13:35. doi: 10.1186/1471-2482-13-35.
BACKGROUND
This study assessed the ethnic differences of perianal abscess between Bedouin and the general population in southern region of Israel. Israeli-born Arabs have much less colorectal cancer than Israeli-born Jews. It is not clear whether other colorectal diseases have the same ethnic occurrence.
METHOD
This is a retrospective case series of patients who had perianal abscess. Patients' demographics, managements and course of disease were analyzed.
RESULTS
Bedouin male constituted 29.7% of all patients, while they constitute only 15.7% of the population relative risk of 2.27 (p< 0. 001). 16.4% of the patients experienced perianal abscess recurrence. 39% of the males with recurrent abscess formation were Bedouin, relative risk of 1.8 (p<0. 001).
CONCLUSION
Bedouin males have high relative risk to develop perianal abscess. Bedouin males as others with first recurrence have high relative risk for recurrence. Thus for both groups of patients, there is an indication to operate in order to treat the abscess and coexisting fistula.
背景
本研究评估了以色列南部地区贝都因人与普通人群之间肛周脓肿的种族差异。在以色列出生的阿拉伯人患结直肠癌的几率远低于在以色列出生的犹太人。目前尚不清楚其他结直肠疾病在种族发病率上是否也存在同样的情况。
方法
这是一项针对肛周脓肿患者的回顾性病例系列研究。分析了患者的人口统计学特征、治疗方法和病程。
结果
贝都因男性占所有患者的29.7%，而他们在当地人口中仅占15.7%，相对风险为2.27（p<0.001）。16.4%的患者经历了肛周脓肿复发。在脓肿复发的男性患者中，39%为贝都因人，相对风险为1.8（p<0.001）。
结论
贝都因男性患肛周脓肿的相对风险较高。与其他首次复发的患者一样，贝都因男性复发的相对风险也较高。因此，对于这两组患者，都有手术治疗脓肿和并存肛瘘的指征。
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