118例婴幼儿复杂性肛瘘的临床特点及中医证型分布情况.docxVIP

118例婴幼儿复杂性肛瘘的临床特点及中医证型分布情况

曾超群赵沅丁宁胡响当

[关键词]?婴幼儿；复杂性肛瘘；瘘管；内外口；中医证型

[中图分类号]?R266????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.05.006

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

ZENG?Chaoqun1，?ZHAO?Yuan1，?DING?Ning2，?HU?Xiangdang1

1.The?Second?Affiliated?Hospital?of?Hunan?University?of?Chinese?Medicine，?Changsha?410005，?Hunan，?China;?2.Hunan?University，?Changsha?410082，?Hunan，?China

[Abstract]?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?（P0.05）;?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