118例婴幼儿复杂性肛瘘的临床特点及中医证型分布情况  

Clinical characteristics of 118 cases of complex anal fistulas in infants and types of traditional chinese medicine syndromes

作　　者：曾超群 赵沅 丁宁 胡响当[1] ZENG Chaoqun;ZHAO Yuan;DING Ning;HU Xiangdang(The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410005,Hunan,China;Hunan University,Changsha 410082,Hunan,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005 [2]湖南大学,湖南长沙410082

出　　处：《中国现代医生》2024年第5期25-29,共5页China Modern Doctor

基　　金：湖南省中医肛肠临床医学研究中心项目(2021SK4025);湖南省教育厅科研项目(19C1416);湖南中医药大学校级科研项目(2021XJJJ054);湖南中医药大学校级科研项目(2022XYLH026);湖南省中医药管理局科研项目(D2023008)。

摘　　要：目的探讨婴幼儿复杂性肛瘘的临床特点及中医证型分布情况。方法回顾性分析2019年1月1日到2023年1月1日在湖南中医药大学第二附属医院住院的118例复杂性肛瘘患儿的临床资料,分析其性别、年龄、瘘管、内外口及中医证型分布特点。结果118例患儿中男115例(97.5%),女3例(2.5%),性别比较差异有统计学意义(P<0.05);好发于1岁以内;其中低位复杂性肛瘘93例(占78.8%),高位复杂性肛瘘25例(占21.2%);以2根瘘管为主(占76.3%),其次为3根瘘管(占21.2%)和4根瘘管(占2.5%);内外口数量关系中以外口=内口为主(占71.2%),内外口多分布在3、9点位(截石位);中医证型以湿热下注证为主(占58.5%),其次为胎毒证(占23.7%)、脾虚湿蕴证(占17.8%)。结论婴幼儿复杂性肛瘘好发于1岁以内男性患儿,多为2根瘘管的低位复杂性肛瘘,内外口多分布在3、9点位(截石位),湿热下注证为主要中医证型。Objective To retrospectively analyse the clinical characteristics of complex anal fistula and the distribution of TCM syndrome in infants and young children.Methods The clinical data of 118 children with complex anal fistula who were hospitalised in the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine from 1 January 2019 to 1 January 2023 were retrospectively analysed for gender,age,fistula,internal and external orifices,and distribution of TCM syndrome.Results Totally 115 cases(97.5%)were male and 3 cases(2.5%)were female among the 118 cases,with statistically significant differences(P<0.05);they occurred within 1 year of age;among them,there were 93 cases(78.8%)of low complex anal fistula,and 25 cases(21.2%)of high complex anal fistula;there were 2 fistulas(76.3%),followed by 3 fistulas(21.2%)and 4 fistulas(2.5%);the relationship between the number of internal and external orifices was dominated by external orifices=internal orifices(71.2%),and the internal and external orifices were mostly located at the 3 and 9 points(truncation);dampness-heat pouring downward was the most common syndrome(58.5%),followed by foetal toxin(23.7%),and spleen deficiency and dampness(17.8%).Conclusion Complex anal fistula in infants and young children occurred in male children less than 1 year old,and most of them were low complex anal fistula with two fistulas,and the internal and external orifices were mostly distributed in the 3 and 9 points(truncation),and dampness-heat pouring downward was the main TCM syndrome.

关 键 词：婴幼儿 复杂性肛瘘 瘘管 内外口 中医证型 

分 类 号：R266[医药卫生—中医外科学]