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Advance of the diagnosis and treatment of anal abscess and anal fistula of infants |
ZHANG Qiang LU Jingen LIANG Hongtao |
Department of Anorectal, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China |
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Abstract More and more infants (0-3 years old) with diseases of anal abscess and anal fistula are identified, and the incidence is increasing year by year. There are two opposite viewpoints about the treatment: conservative treatment and operation. The unwisely pursuits of conservative treatment by some doctors and the infants′ parents directly causes the infants′ suffering from repeated attacks of the disease for a long time, even the enlargement of the focus, the aggravation of the disease, and more pain, what′s more, and brought physical, work, psychological and economic pressure on parents, which can not be ignored either. Operation will relieve symptoms and improve physical stress quickly, but cutting and draining alone, not seeking a cure method would also increase the pain of children. Therefore, there is an urgent need for effective treatment of perianal abscess and anal fistula in infants. This article reviews the literature about the diseases last decade, studying the commonly clinical characteristics, the etiology, the treatment and the prognosis of these diseases, looking forward to find a better treatment to treat them.
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