3月龄以内婴儿脓肿性肛瘘单中心临床研究  

Single center clinical study of abscess anal fistula in infants under 3 months of age

作　　者：王金虎[1] 胡博[1] 赵绪稳[1] 杜晓斌[1] 杨福江 戴春娟[1] WANG Jin-hu;HU Bo;ZHAO Xu-wen;DU Xiao-bin;YANG Fu-jiang;DAI Chun-juan(Department of Neonatal Surgery,Tianjin Children's Hosptial,Tianjin 300074,China)

机构地区：[1]天津市儿童医院新生儿外科,天津300074

出　　处：《中国城乡企业卫生》2021年第4期12-15,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨3月龄以内婴儿脓肿性肛瘘的诊治经验及方法。方法选取2015年6月-2019年8月在天津市儿童医院新生儿外科诊断为脓肿性肛瘘3月龄以内的住院患儿87例,对其临床资料进行回顾性分析,统计手术预后情况及母乳喂养情况,总结诊治过程中的经验体会。结果 87例患儿中,男性患儿86例、占比98.9%;2月龄内发病的患儿71例、占比81.6%;母乳喂养73例、占比83.9%,明显高于同地区同时期社会普查母乳喂养率63.8%,差异有统计学意义(P<0.05)。82个肛瘘发生位点在肛周截石位3点或9点处,所有患儿均行肛瘘挂线的手术疗法,术后全部治愈且无复发。结论脓肿性肛瘘患儿以男性居多,可能与母乳喂养而发生变态反应或(和)乳糖不耐受导致腹泻有关。肛瘘挂线的手术疗法可以有效治疗该疾病,并能预防和减少复发,值得临床推广应用。Objective To explore the experience and methods of diagnosis and treatment of abscess anal fistula in infants within 3 month of age. Methods From June 2015 to August 2019,87 hospitalized children aged less than 3 months with abscess anal fistula diagnosed in Tianjin Children’s Hosptial were selected. The clinical data were retrospectively analyzed,the surgical prognosis and breastfeeding situation were statistically analyzed,and the experience in the process of diagnosis and treatment was summarized.Results Among the 87 cases,86 cases were male infants,accounting for 98.9%;71 cases were within 2 months of age,accounting for 81.6%;73 cases were breast-feeding,accounting for 83.9%,which was significantly higher than 63.8% in the same period of social census in the same region,and the difference was statistically significant(P<0.05). The sites of 82 anal fistula were at 3 or 9 o’clock of perianal lithotomy.All children were treated with anal fistula thread drawing surgery,and all patients were cured without recurrence. Conclusion Most of the children with abscess anal fistula were male,which might be related to allergic reaction or(and) lactose intolerance resulting in diarrhea. The operation therapy of anal fistula thread drawing could effectively treat the disease and prevent and reduce the recurrence,which was worthy of clinical promotion and application.

关 键 词：脓肿性肛瘘 婴儿 母乳喂养 手术治疗 

分 类 号：R657.1[医药卫生—外科学]