婴幼儿肛周脓肿及肛瘘诊治进展  

Advance of the diagnosis and treatment of anal abscess and anal fistula of infants

作　　者：张强[1] 陆金根[1] 梁宏涛[1] ZHANG Qiang;LU Jingen;LIANG Hongtao(Department of Anorectal,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,Chin)

机构地区：[1]上海中医药大学附属龙华医院肛肠科,上海200032

出　　处：《中国医药导报》2018年第16期34-37,共4页China Medical Herald

基　　金："十二五"国家科技支撑计划项目(2015BAI04B00)

摘　　要：婴幼儿(出生后0~3岁)肛周脓肿和肛瘘发病率逐年上升。目前临床主要存在保守治疗和手术治疗两种截然相反的观点。医师及家属盲目追求保守治疗,直接导致患儿长期遭受病情反复发作带来的影响,甚至病灶扩大,病情加重,给患儿带来痛苦,也给患儿家属带来身体、工作、心理的压力和经济负担,成为不容忽视的现象。手术治疗虽然会快速缓解不适症状,改善体征,但是一味地切开引流,不寻求根治也会增加患儿痛苦。因此,临床急需有效的治疗婴幼儿肛周脓肿和肛瘘的方法。笔者通过回顾近10年来国内外婴幼儿肛周脓肿及肛瘘的文献,从疾病特点、病因学、治疗及预后五个方面对婴幼儿肛周脓肿及肛瘘进行阐述,以期寻找一种合适的治疗婴幼儿肛周脓肿和肛瘘的方法。More and more infants（0-3 years old） with diseases of anal abscess and anal fistula are identified,and the incidence is increasing year by year.There are two opposite viewpoints about the treatment：conservative treatment and operation.The unwisely pursuits of conservative treatment by some doctors and the infants′ parents directly causes the infants′ suffering from repeated attacks of the disease for a long time,even the enlargement of the focus,the aggravation of the disease,and more pain,what′s more,and brought physical,work,psychological and economic pres sure on parents,which can not be ignored either.Operation will relieve symptoms and improve physical stress quickly,but cutting and draining alone,not seeking a cure method would also increase the pain of children.Therefore,there is an urgent need for effective treatment of perianal abscess and anal fistula in infants.This article reviews the literature about the diseases last decade,studying the commonly clinical characteristics,the etiology,the treatment and the prognosis of these diseases,looking forward to find a better treatment to treat them.

关 键 词：婴幼儿 肛周脓肿 肛瘘 保守治疗 手术治疗 

分 类 号：R657.1[医药卫生—外科学]