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直肠腔内B超检查诊断肛肠疾病 被引量:3

Endosonographic diagnosis in anorectal diseases
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摘要 目的探讨直肠腔内B超检查在肛肠疾病诊断中的应用价值。方法选择2004年2月至2005年12月69例病人,其中男性39例,女性30例,年龄21~76岁,平均年龄48岁。肛周脓肿32例,肛瘘19例,直肠癌12例,肛周直肠后间隙炎症6例。使用经直肠腔内B超检查方法,检查肛肠疾病,并将检查结果与手术所见及病理诊断相对照。结果除6例肛瘘未能明确瘘管走行和瘘管内口、3例直肠癌未能明确诊断外(符合率分别为68.4%和75.0%),其余病例B超检查结果均与手术病理诊断相符合(符合率为100%)。结论直肠腔内B超检查对肛周脓肿的定位、脓腔的大小及手术计划方面有非常实用的价值;对肛瘘管道的走行及其内口的定位、直肠癌的浸润深度及其范围方面有指导意义。 Objective To study the diagnostic value of endoscopic sonography of the anorectum in anorectal disease. Methods A total of 69 patients were enrolled in this study during February 2004 to Decmber 2005 ,male 39 patients ,female 30 patients, aged 21 to 76 years ,mean age 48 years. There were 52 patients with perianal abscess, 19 patients with anal fistula, 12 patients with rectum cancer,6 patients with inflammation of perianal and anorectal space. The patients with anorectal disease were performed endoscopic sonography of the anorectum, then the diagnostic results were compared with operation and pathological findings. Results In 19 patients with anal fistula and 12 patients with rectal cancer,except 6 cases were uncertain of the trend of fistula canal and fistula canalis internal entrance;5 cancer cases were uncertain of malignancy diagnosis,the diagnostic coincidence rate was 68.4 % (15/19) and 75.0 % (9/12) respectively. The results of the other cases demonstrated the diagnostic coincidence rate was 100 % in examinations of ultrasound operation and pathology. Conclusion The endoscopic sonography of anorectum has great practical value in ascertaining the location,size and cavity volume of perianal abscess and operation planning. It is also valuable in evaluation of the trend and internal entrance of fistula canal and infiltration depth, range of malignancy.
作者 顾成章
出处 《生物医学工程与临床》 CAS 2007年第3期186-188,共3页 Biomedical Engineering and Clinical Medicine
关键词 肛肠疾病 直肠腔 B超检查 anorectal disease rectum cavity B ultrasound examination
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参考文献6

  • 1吕明德,董宝玮主编..临床腹部超声诊断与介入超声学[M].广州:广东科技出版社,2001:325.
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  • 3罗东铭,主编.盆底与肛门病学[M].第2版.贵阳:贵州科技出版社,2001.217-232. 被引量:1
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