영아기 항문주위농양 및 치루

• Published in: Annals of surgical treatment and research Vol. 67; no. 6; pp. 463 - 466
• Main Authors: 최준호(Jun-Ho Choe), 김현영(Hyun-Young Kim), 정성은(Sung-Eun Jung), 이성철(Seong-Cheol Lee), 박귀원(Kwi-Won Park), 김우기(Woo-Ki Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.12.2004
• Subjects: 일반외과학; Fistula in ano; Perianal abscess; Infant; 치루; Management; 항문주위 농양; 영아; 치료
• ISSN: 2288-6575; 2288-6796

Purpose: A number of studies have reported obtaining satisfactory results from the nonoperative management of perianal abscess (PAA) and/or fistula-in-ano (FIA) in infancy. The aim of this study was to obtain insight into the results of different treatment for perianal abscess and/or fistula- in-ano in infants. Methods: This is a retrospective study utilizing the medical records of patients treated from March 1997 until January 2004 at our Pediatric Surgical Center. Follow-up on patients by telephone was done when necessary and these findings were also included in the results. Results: One hundred twenty four patients were analyzed (122 boys and 2 girls). 113 patients of the 124 patients (91.9%) were under the age of 1 year. 93 lesions of the total 131 lesions (70.0%) were laterally located. 73 (88.0%) of the 83 identified patients(confirmed cases whether cured or not) were cured within 12 months, and 78 (94.0%) of the 83 patients were cured without surgical intervention within 24 months. The numbers of PAA and FIA were 68 and 15 respectively. PAA was cured within 1 month for 27 children (39.7%), and within 6 months for 51 children (75%). FIA was cured within 6 months for 8 children (53.3%) but there were no cases of FIA cured within 1 month. Conclusions: In healthy infants, PAA and FIA are self- limited conditions that rarely require a surgical drainage procedure such as fistulotomy or fistulectomy, and these conditions do not require antibiotics. So we prefer conservative management techniques such as sitz bath and/or simple drainage to radical surgery. KCI Citation Count: 0