al-Salem A H, Laing W, Talwalker V
Department of Surgery, Qatif Central Hospital, Saudi Arabia.
J Pediatr Surg. 1994 Mar;29(3):436-8. doi: 10.1016/0022-3468(94)90587-8.
The authors report the results of a retrospective study of 36 patients with fistula-in-ano (FIA) and/or perianal abscess (PA) presenting during a 3-year period. In 76.2% of the 21 patients with FIA, the fistulae developed in the first 2 years of life. For eight of the 16 patients who underwent fistulectomy, histological examination of the excised fistulae showed an epithelial lining of the tract mixed with stratified squamous, transitional and columnar epithelium. The early onset of FIA, the high percentage of bilateral and multiple fistulae, and the presence of these types of epithelium lining support a congenital etiology of FIA in children. In boys, a causal relationship exists between PA and FIA.
作者报告了一项对36例在3年期间出现肛瘘（FIA）和/或肛周脓肿（PA）患者的回顾性研究结果。在21例FIA患者中，76.2%的肛瘘在生命的头2年出现。在16例接受肛瘘切除术的患者中，有8例切除的肛瘘组织学检查显示瘘管内衬上皮为复层鳞状上皮、移行上皮和柱状上皮混合。FIA的早期发病、双侧和多发肛瘘的高比例以及这些类型上皮衬里的存在支持儿童FIA的先天性病因。在男孩中，PA和FIA之间存在因果关系。
