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对２３２例肛瘘患儿的临床资料进行了回顾性分析，并对其中１９个女婴肛瘘瘘管标本，２个男婴瘘管标本与１１个先天性无肛会阴瘘瘘管标本进行了组织病理学对比研究。从病理学角度．我们认为女婴肛瘘绝大多数为后天形成，男婴肛瘘均为后天形成。临床资料分析显示女婴肛瘘好发于舟状窝（８４．９％），男婴肛瘘好发于肛门前方（６９．３％）。小儿肛瘘好发于肛门前方与小儿易发生隐窝炎，排便过程中肛管前壁比后壁承受更大压力及肛管直肠交界处前壁组织结构较后壁薄弱有关。
The clinical data of 232 cases of anal fistula were retrospectively analyzed. The histopathological comparison of 19 fistula samples, 2 male fistula samples and 11 congenital non-anal perineal fistula samples were made . From the pathological point of view. We believe that the vast majority of female fistula to form the day after tomorrow, male fistula are acquired. Clinical data analysis showed that female fistula occurred mainly in the boat (84.9%), and male fistula occurred in front of the anus (69.3%). Pediatric anal fistula occurs in front of the anus and pediatric prone cryptitis, defecation in the anterior wall of the anterior wall to bear more pressure than the anterior wall of the anorectal junction and the anterior wall structure is weaker than the posterior wall.