超声对肛周感染性疾病诊断与治疗的评价

发布时间：2018-04-29 19:26

本文选题：超声 + 肛周感染　；参考：《中华医院感染学杂志》2015年09期

【摘要】：目的探讨超声在肛周感染性疾病的诊断和治疗中的价值,为疾病的早期诊断与治疗提供依据。方法选择2012年3月-2013年2月医院收治的肛周感染性疾病患者64例,所有患者手术前均接受超声检查,将超声诊断与术中所见进行对比分析,评价超声在肛周感染性疾病诊断和治疗中的价值。结果 64例患者均经手术确诊,其中单纯性肛周脓肿最多,共34例占53.12%;超声对肛周感染性疾病的诊断符合率为92.19%,其中单纯性肛周脓肿为94.12%、复合型肛周脓肿为78.57%、肛瘘为100.00%;肛周脓肿患者肛周软组织表现为回声增强,可见一形态不一、大小不等的包块,包块表现为低回声或无回声,包块周边可见少许血流信号;肛瘘患者瘘道表现为管状低回声区,腔内可见液性暗区或不均质回声区,未见明显血流信号。结论超声对肛周感染性疾病诊断符合率高,能够对肛周感染性疾病做出准确的分型,且能够提供脓肿大小和范围等信息,为临床治疗提供帮助,具有现实的临床意义。
[Abstract]:Objective to explore the value of ultrasound in the diagnosis and treatment of perianal infectious diseases. Methods Sixty-four patients with perianal infectious diseases were selected from March 2012 to February 2013. All patients were examined by ultrasound before operation. To evaluate the value of ultrasound in the diagnosis and treatment of perianal infectious diseases. Results all the 64 patients were diagnosed by operation, among which simple perianal abscess was the most. The diagnostic coincidence rate of ultrasound for perianal infectious diseases was 92.19, in which simple perianal abscess was 94.12, compound perianal abscess was 78.57 and anal fistula was 100.00.The perianal soft tissue of patients with perianal abscess showed enhanced echo, and one shape was different. The lumps with different sizes showed hypoechoic or non-echoic, and a few blood flow signals were observed around the lumps, and the fistula in anal fistula showed tubular hypoechoic area, fluid dark area or heterogeneous echo area, and no obvious blood flow signal. Conclusion Ultrasound has a high accuracy in diagnosis of perianal infectious diseases, it can make accurate classification of perianal infectious diseases, and can provide information on the size and scope of abscess, which is of practical clinical significance.
【作者单位】：瑞安市红十字医院超声科;瑞安市红十字医院肛肠科;
【基金】：浙江省卫生厅医药基金资助项目(2009B136)
【分类号】：R445.1;R574.8

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