Clinical characteristics of 118 cases of complex anal fistulas in infants and types of traditional chinese medicine syndromes
10.3969/j.issn.1673-9701.2024.05.006
- VernacularTitle:118例婴幼儿复杂性肛瘘的临床特点及中医证型分布情况
- Author:
Chaoqun ZENG
1
;
Yuan ZHAO
1
;
Ning DING
2
;
Xiangdang HU
1
Author Information
1. The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410005, Hunan, China
2. Hunan University, Changsha 410082, Hunan, China
- Publication Type:Journal Article
- Keywords:
Infant and young children;
Complex anal fistula;
Fistula;
Internal and external orifice;
TCM syndrome
- From:
China Modern Doctor
2024;62(5):25-29
- CountryChina
- Language:Chinese
-
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(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.
