婴幼儿脓肿性肛瘘的特点及治疗  

Features and surgical management of anal abscess fistula in infants

作　　者：马木提江.阿巴拜克热 温浩[2] 黄宏国[1] 楚慧[1] 

机构地区：[1]新疆医科大学第一附属医院普通综合外科,乌鲁木齐医学博士830011 [2]新疆医科大学第一附属医院消化血管外科中心,乌鲁木齐博士后830011

出　　处：《医学研究生学报》2010年第5期495-499,共5页Journal of Medical Postgraduates

基　　金：乌鲁木齐市科学技术计划项目(G08231001)

摘　　要：目的婴幼儿脓肿性肛瘘的治疗是肛肠外科领域中的难题,不同的手术方法治疗效果差异较大。文中研究婴幼儿脓肿性肛瘘的特点并与成人比较,探讨婴幼儿脓肿性肛瘘的治疗方法。方法对102例2岁以下婴幼儿及84例成年人脓肿性肛瘘患者的临床资料及治疗方法进行回顾性对比分析。结果婴幼儿组102例中97例曾有肛周脓肿病史,91例病变感染源为相对应的肛隐窝。按瘘管分类,单纯性瘘管者100例,复杂性者2例,所有患儿均接受外科手术治疗,术后未见复发。成人组84例经常规手术治疗后有9例出现不同程度的排便失禁,5例瘘管复发。结论婴幼儿脓肿性肛瘘具有与成人不同的临床特点,应采取不同的治疗方法。Objective The management of anal abscess fistula in infants is a knotty problem in anorectal surgery.The efficiency of management is closely associated with the surgical method.This study aimed at more effective treatment of anal abscess fistula by comparing the features and surgical management of the disease between infants and adults.Methods We retrospectively analyzed and compared the clinical data of 102 infants（less than 2 years of age） and 84 adults with anal abscess fistula.Results Ninety-seven of the infant patients had the history of anorectal abscess,and 91 of the cases originated from the corresponding crypts.Based on the number of fists involved,100 cases were of the single type,and 2 the complex type.All were treated by surgery,and none experienced recurrence.In the adult group,9 cases incurred fecal incontinence and rectoanal disorders in different stages after surgery,and 5 cases experienced recurrence.Conclusion An insight into the different clinical characteristics of anal abscess fistula between infants and adults may provide a guide for a better management of the problem.

关 键 词：肛瘘 肛周脓肿 婴幼儿 外科治疗 

分 类 号：R657.16[医药卫生—外科学]