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首页> 外文期刊>Pediatrics international : >Perianal abscess in infants: Amenable to conservative treatment in selected cases
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Perianal abscess in infants: Amenable to conservative treatment in selected cases

机译：婴幼儿的肛周脓肿：在选定病例中适用于保守治疗

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Abstract Background Perianal abscess is a common surgical condition in daily pediatric practice. Management is a subject of controversy and a variety of approaches are practiced. While the most frequent approach is drainage with/without fistulotomy, the superiority of this approach and the place of conservative approach has not been established. The aim of this study was to evaluate the outcomes of conservative approach in selected cases of perianal abscesses in infants. Methods Data of 19 patients aged 24?months treated conservatively for perianal abscess at a tertiary hospital in 2014–2018 were retrospectively reviewed. Results Criteria for a conservative approach were: spontaneous drainage into the anal canal ( n = 8) or perianal skin ( n = 4), and phlegmonous infiltrate with fluid collection detected on ultrasound ( n = 7). Mean age at symptom onset was 8.4?months. Twelve patients were managed for the first time. Previous care in seven patients included 1–4 drainage procedures ( n = 4), spontaneous drainage ( n = 1) and antibiotics ( n = 2). Five patients were on oral antibiotics at presentation. After diagnosis, 18 patients received i.v. antibiotics and one, oral antibiotics. Three patients (15.7%) ultimately required surgical drainage; two were lost to follow up. During follow up (mean, 22.4?months) four patients (28.5%) had a single recurrent episode; abscess in three (managed conservatively in two and surgically in one) and fistula‐in‐ano in one patient that healed spontaneously. Thus, surgical intervention was prevented in 13/17 patients (76.4%) available for follow up. Conclusions Perianal abscess in infants is amenable to conservative management in selected cases. Avoiding surgical intervention is advantageous, especially given the high recurrence rate.
机译：摘要背景肛周脓肿是日常儿科实践中的常见手术条件。管理是争议的主题，实践各种方法。虽然最常见的方法是带有/没有瘘管的排水，但尚未建立这种方法的优越性和保守方法的位置。本研究的目的是评估婴儿肛周脓肿患者的保守方法的结果。方法有关19岁的19例患者的数据追溯审查2014 - 2018年在第三级医院治疗的肛门治疗的患者。结果保守方法的标准是：自发引流进入肛管（n = 8）或肛周皮肤（n = 4），并在超声中检测到含有流体收集的含有含流量的渗透（n = 7）。症状发作的平均年龄为8.4个月。数月。十二名患者首次进行管理。先前的护理在7名患者中包括1-4个引流程序（n = 4），自发排水（n = 1）和抗生素（n = 2）。五名患者在呈现时对口腔抗生素进行。诊断后，18名患者接受I.v.抗生素和一种口服抗生素。三名患者（15.7％）最终需要手术引流;两个人失去了跟进。在跟进（平均值，22.4个月），四名患者（28.5％）有一个单一的反复发作;脓肿三（在两个和手术中保守地管理）和瘘管在一个患者中自发愈合的患者。因此，在13/17名患者中预防手术干预（76.4％）。结论婴幼儿脓肿是在选定案件中的保守管理方面的缺陷。避免手术干预是有利的，特别是给予高复发率。

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