婴幼儿肛瘘发病相关因素与治疗的研究进展

Advances in etiologies and treatments of infantile fistula-in-ano

肛瘘是指直肠或肛管与肛门周围皮肤相通所形成的异常通道。婴幼儿肛瘘是指发生在0~3岁婴幼儿的肛管直肠瘘,起初以肛周脓肿的急性炎症为表现,后逐步进入形成肛瘘的慢性炎症期。由于婴幼儿处于特殊的生长阶段,导致婴幼儿肛瘘与成人肛瘘存在许多差异。本文从流行病学、临床表现、发病原因和治疗方法四方面总结归纳婴幼儿肛瘘的研究现状及治疗进展。

Anal fistula refers to abnormal passage formed by a connection between rectum or anal canal and skin around anus.Infantile fistula-in-ano refers to an anorectal fistula occurring in infants aged 0 to 3 years.Initially it is manifested by acute inflammation of perianal abscess and then there is a chronic inflammatory period of formation.Infantile fistula-in-ano differs in many respects from its adult counterpart.This article summarizes current status and research advances of epidemiology,clinical manifestations,etiologies and therapeutics.Aiming at exploring a therapeutic breakthrough,the authors summarized existing problems on the basis of literature and offered insights of enhancing clinical efficacies.