摘要
复杂性肛瘘的诊治一直是临床上的严峻挑战。不明智的切口和过分的探查，将导致继发的分支、窦道和穿孔形成．使一个简单的瘘变成一个外科难题，给患者带来灾难性的后果。肛瘘术前的精确诊断，包括内口、原发瘘管、分支瘘管和脓肿的识别和定位，是对肛瘘分型和治疗的基本要求。在肛瘘的诊断中，影像学检查，尤其是MRI扮演着非常重要的角色。对肛瘘的分型定位、内口显示、瘘管数量和走行及其与括约肌之间关系的判断。MRI已经是不可或缺的确证性影像学检查。
The diagnosis and treatment of complex anal fistula has been a significant challenge. Unwise incision and excessive exploration will lead to the secondary branch, sinus and perforation. A simple fistula may become a surgical problem and result in disastrous consequences. Preoperative accurate diagnosis of anal fistula, including in the internal opening, primary track and location of the fistula, extensions and abscess, is important for anal fistula treatment. In the diagnosis of anal fistula, imaging examination, especially MRI plays a crucial role. Localization and demarcation of anal fistula and the relationship with sphincter are important. MRI has been an indispensable confirmatory imaging examination.
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2015年第12期1193-1196,共4页
Chinese Journal of Gastrointestinal Surgery
基金
广东省自然科学基金（1414050000451）
关键词
复杂性肛瘘
影像学
诊断
磁共振成像
Complex anal fistula
Imaging
Diagnosis
Magnetic resonance imaging
