Efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children

ZHANG Xi; HAO Shuang; LIANG Hongtao; WANG Chen; CHEN Yi; LU Jingen

doi:10.16305/j.1007-1334.2025.z20250505001

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Efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children

更新时间：2025-10-17

- Efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children
- Shanghai Journal of Traditional Chinese Medicine Vol. 59, Issue 10, Pages: 61-65(2025)
- 作者机构：
  
  1.上海中医药大学附属龙华医院肛肠科（上海 200032）
  2.上海市普陀区中医医院肛肠科（上海 200062）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2025.z20250505001
  CLC：
- Received：05 May 2025，
  
  Published：10 October 2025
- 稿件说明：
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张茜,郝爽,梁宏涛,等.顾氏外科保守疗法治疗婴幼儿肛周脓肿的疗效观察[J].上海中医药杂志,2025,59(10):61-65.

ZHANG Xi,HAO Shuang,LIANG Hongtao,et al.Efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(10):61-65.
张茜,郝爽,梁宏涛,等.顾氏外科保守疗法治疗婴幼儿肛周脓肿的疗效观察[J].上海中医药杂志,2025,59(10):61-65. DOI： 10.16305/j.1007-1334.2025.z20250505001.

ZHANG Xi,HAO Shuang,LIANG Hongtao,et al.Efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(10):61-65. DOI： 10.16305/j.1007-1334.2025.z20250505001.

摘要

目的

观察顾氏外科保守疗法治疗婴幼儿肛周脓肿的疗效，探讨婴幼儿肛周脓肿保守治疗失败的影响因素，为临床治疗选择提供参考。

方法

收集67例肛周脓肿患儿的临床资料，并给予顾氏外科保守治疗，疗程为1个月，治疗结束后观察2个月，计算治愈率；观察结束后随访1年，记录复发情况。根据治疗结局将患儿分为治愈组、非治愈组，比较两组的疾病信息差异，并进行二元Logistic回归分析，探讨婴幼儿肛周脓肿保守治疗失败的影响因素。

结果

①有60例完成了治疗及观察随访，其中37例患儿治愈，治愈率为61.67%，治愈患儿的症状持续时间为（21.95±17.02）d；随访过程中，有3例患儿复发，复发率为8.11%。②多个病灶［

=5.974，95%

（1.22~29.29），

=0.028］及接种疫苗后复发或症状加重［

=9.883，95%

（1.65~59.15），

=0.012］是保守治疗失败的危险因素。

结论

顾氏外科保守疗法治疗婴幼儿肛周脓肿的临床疗效值得肯定，病灶数量、疫苗接种后的病情变化与保守治疗的成败有一定关联，更推荐初次发作、小面积、单病灶的患儿接受保守治疗。

Abstract

Objective

To observe the efficacy of Gu's surgical conservative therapy for treating perianal abscess in infants and young children， and to explore the factors influencing the failure of conservative treatment for perianal abscess in this population， thereby providing a reference for clinical treatment decision-making.

Methods

Clinical data from 67 children with perianal abscess were collected， and they were treated with Gu's surgical conservative therapy for one month. After treatment， a two-month observation period was conducted to calculate the cure rate， and a one-year follow-up was conducted to record recurrence. Based on treatment outcomes， patients were divided into a cured group and a non-cured group， and the differences in clinical characteristics between the two groups were compared. Binary logistic regression was used to identify the risk factors contributing to the failure of conservative treatment for perianal abscess in infants and young children.

Results

①Sixty patients completed the treatment and follow-up， with 37 patients cured， resulting in a cure rate of 61.67%. The duration of symptoms for the cured patients was （21.95±17.02） days. During the follow-up， three patients had a recurrence， with a recurrence rate of 8.11%. ②The presence of multiple lesions ［

=5.974， 95%

（1.22-29.29），

=0.028］ and recurrence or worsening of symptoms after vaccination ［

=9.883， 95%

（1.65-59.15），

=0.012］ were identified as risk factors for conservative treatment failure.

Conclusions

Gu's surgical conservative therapy demonstrates satisfactory clinical efficacy in treating perianal abscess in infants and young children. The number of lesions and changes in symptoms after vaccination are associated with the success or failure of conservative treatment. Conservative treatment is more recommended for patients with first-onset， small-area， single-lesion abscesses.

关键词

Keywords

references

LABERGE J M . Perianal abscess and fistula-in-ano in infants ［J］. J Pediatr Surg ， 1998 ， 33 （ 12 ）： 1848 .

EMILE S H ， ELFEKI H ， ABDELNABY M . A systematic review of the management of anal fistula in infants ［J］. Tech Coloproctol ， 2016 ， 20 （ 11 ）： 1 - 10 .

SEVGEN T B ， YASEMIN O ， BULENT C A ， et al . Perianal abscess in children： A pediatric infectious disease perspective ［J］. An Pediatr ， 2019 ， 90 （ 6 ）： 370 - 375 .

GAERTNER W B ， BURGESS P L ， DAVIDS J S ， et al . The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Anorectal Abscess， Fistula-in-Ano， and Rectovaginal Fistula ［J］. Dis Colon Rectum ， 2022 ， 65 （ 8 ）： 964 - 985 .

YIN W ， LI Y ， ZHANG J ， et al . Natural course of perianal abscess in infants：a real-world study ［J］. Sci Rep ， 2023 ， 13 （ 1 ）： 18416 .

朱煜璋，郭修田 . 中医外治法在良性肛肠疾病中的运用研究进展［J］. 上海中医药杂志， 2023 ， 57 （ 11 ）： 95 - 100 .

中华中医药学会 . 中医肛肠科常见病诊疗指南： ZYYXH/T322-341—2012 ［S］. 北京：中国中医药出版社， 2012 .

LEWIS S J ， HEATON K W . Stool form scale as a useful guide to intestinal transit time ［J］. Scand J Gastroenterol ， 1997 ， 32 （ 9 ）： 920 - 924 .

GOSEMANN J H ， LACHER M . Perianal abscesses and fistulas in infants and children ［J］. Eur J Pediatr Surg ， 2020 ， 30 （ 5 ）： 386 - 390 .

CHRISTISON-LAGAY E R ， HALL J F ， WALES P W ， et al . Nonoperative management of perianal abscess in infants is associated with decreased risk for fistula formation ［J］. Pediatrics ， 2007 ， 120 （ 3 ）： e548 - e552 .

OH J T ， HAN A ， HAN S J ， et al . Fistula-in-ano in infants：Is nonoperative management effective？［J］. J Pediatr Surg ， 2001 ， 36 （ 9 ）： 1367 - 1369 .

孙琰婷，梁宏涛，郝爽，等 . 陆金根分期辨治婴幼儿肛瘘经验［J］. 广州中医药大学学报， 2023 ， 40 （ 4 ）： 1007 - 1012 .

AFŞARLAR C E ， KARAMAN A ， TANIR G ， et al . Perianal abscess and fistula-in-ano in children： clinical characteristic， management and outcome ［J］. Pediatr Surg Int ， 2011 ， 27 （ 10 ）： 1063 - 1068 .

郑步峰，田文超，冯文玉，等 . 新生儿肛周脓肿的临床特点及治疗［J］. 中华实用儿科临床杂志， 2017 ， 32 （ 22 ）： 1729 - 1732 .

CHANG H K ， RYU J G ， OH J T . Clinical characteristics and treatment of perianal abscess and fistula-in-ano in infants ［J］. J Pediatr Surg ， 2010 ， 45 （ 9 ）： 1832 - 1836 .

GONG Z ， HAN M ， WU Y ， et al . Treatment of first-time perianal abscess in childhood， balance recurrence and fistula formation rate with medical intervention ［J］. Eur J Pediatr Surg ， 2018 ， 28 （ 4 ）： 373 - 377 .

张光顺 . 保守治疗婴儿肛周脓肿安全性与有效性回顾性研究［D］. 大连：大连医科大学， 2020 .

BOENICKE L ， DOERNER J ， WIRTH S ， et al . Efficacy of conservative treatment of perianal abscesses in children and predictors for therapeutic failure ［J］. Clin Exp Pediatr ， 2020 ， 63 （ 7 ）： 272 - 277 .

SEROUR F ， GORENSTEIN A . Characteristics of perianal abscess and fistula-in-ano in healthy children ［J］. World J Surg ， 2006 ， 30 （ 3 ）： 467 - 472 .

GOSEMANN J H ， LACHER M . Perianal abscesses and fistulas in infants and children ［J］. Eur J Pediatr Surg ， 2020 ， 30 （ 5 ）： 386 - 390 .

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