男性婴幼儿肛瘘和肛周脓肿的特点及外科治疗

Anal Fistula and Perianal Abscess in Infants: Features and Surgical Management

目的 研究婴幼儿肛瘘和肛周脓肿的特点及外科治疗方法。方法 对 41例 2岁以下婴幼儿肛瘘和肛周脓肿患儿的临床资料及治疗方法进行了回顾性分析。结果 41例婴幼儿肛瘘和肛周脓肿均为男性 ,其中35例 (85 4% )肛周脓肿感染源为相对应的肛隐窝。另外在 19例 (4 6 4% )发现肛隐窝发育异常 (包括肛隐窝过深、壁厚、融合等 )。全部患儿均为单纯性瘘管 ,均经外科手术治疗 ,术后未见复发。讨论 婴幼儿肛瘘和肛周脓肿的临床特点与成人有很大不同 ,了解这些特点对婴幼儿肛瘘和肛周脓肿的治疗有很大帮助。仔细寻找并切除肛瘘和肛周脓肿的感染源对降低术后复发有很大益处。

Objective To investigate features and surgical management of anal fistula and perianal abscess in infants. Methods 41 pediatric patients (less than 2 years of age) were reviewed retrospectively.Results All patients were male with mean age of 9.5 months. 40 cases were previous anorectal abscesses. The all fistulas were single. Their origin in the crypts was clearly identified in 35 cases. When anoscopy was routinely performed, abnormal development of crypts was found in 19 cases(46 4%). All sick infants received surgical management. No recurrences were observed in the postoperation.Conclusion There are distinctly different between in infants and in adults for perianal abscess and /or fistula-in-ano. The eradication of the anal fistula and perianal infection is most important in reducing recurrence of postoperation.