摘要
目的:探讨经直肠腔内三维超声在肛瘘术前诊断中的临床价值。方法:选取2016年1月-2017年8月本院收治的肛瘘患者53例,按检查方式不同分为三维超声组(EAUS组)30例和二维超声组(TRUS组)23例,分别在术前接受不同的检查,在检查后5 d内进行手术治疗。以手术结果作为最终标准,对比两组的术前诊断结果。结果:53例患者经手术后证实均存在肛瘘内口,EAUS组术前诊断正确率为93.3%,明显高于TRUS组的56.5%(P<0.05);在不同分型瘘道诊断中,EAUS组对括约肌间型、经括约肌型、括约肌外型及括约肌上型的术前诊断正确率均高于TRUS组,但比较差异均无统计学意义(P>0.05);手术证实53例患者存在支瘘者34例,EAUS组术前诊断正确率为89.5%,明显高于TRUS组的53.3%(P<0.05)。结论:EAUS所独有的三维立体成像技术对于肛瘘诊断具有独特优势,对于肛瘘内口、肛瘘支瘘的诊断效果均优于TRUS,可作为肛瘘术前检查的有效的诊断技术在临床进行推广。
Objective:To investigate the clinical value of transrectal three-dimensional ultrasound in preoperative diagnosis of anal fistula.Method:53 cases of anal fistula admitted in our hospital from January 2016 to August 2017 were selected,according to different examination methods,they were divided into 30 cases of three-dimensional ultrasound group(EAUS group)and 23 cases of two-dimensional ultrasound group(TRUS group),underwent different examinations before surgery,and underwent surgical treatment within 5 days after the examination.The final outcome was surgical outcome,and the results of preoperative diagnosis of two groups were compared.Result:53 patients were proved to have anal fistula after surgery,the accuracy rate of preoperative diagnosis of EAUS group was 93.3%,which was significantly higher than TRUS group of 56.5%(P<0.05).In the diagnosis of different types of fistula,the accuracy of preoperative diagnosis of sphincter type,sphincter type,sphincter shape and sphincter type of EAUS group were higher than those of TRUS group,the differences were not statistically significant(P<0.05).34 patients were proved to have branch fistula after surgery,the accuracy rate of preoperative diagnosis of EAUS group was 89.5%,which was significantly higher than 53.3%of TRUS group(P<0.05).Conclusion:The unique three-dimensional imaging technique of EAUS has unique advantages in diagnosis of anal fistula,the diagnosis of anal fistula and branch fistula are better than those of TRUS,can be used as an effective diagnostic technique for preoperative anal fistula examination and is popularized in clinical practice.
作者
梁英级
吴静
邓玉莲
黄淑卿
林玉涓
余剑波
LIANG Yingji;WU Jing;DENG Yulian(Jiangmen Wuyi Hospital of Traditional Chinese Medicine,Jiangmen 529000,China)
出处
《中国医学创新》
CAS
2017年第34期41-44,共4页
Medical Innovation of China
关键词
经直肠腔内三维超声
EAUS
肛瘘
临床价值
Transrectal three-dimensional ultrasound
EAUS
Anal fistula
Clinical value
