超声在肛周脓肿及肛瘘中的辅助诊断价值

发布时间：2018-09-19 12:06

【摘要】：目的探讨超声在肛周脓肿及肛瘘的辅助诊断价值。方法选取2015年2月至2016年2月本院收治的272例肛周脓肿或肛瘘患者为研究对象,术前进行肛管及周围软组织超声扫描检查,以手术病理结果为金标准,分析超声诊断肛周脓肿、肛瘘的准确性,并观察其判断肛周脓肿分期及分型、肛瘘分型及肛瘘内口、瘘管的准确性。结果 176例肛周脓肿及96例肛瘘均经超声检出,与病理结果完全吻合。超声诊断肛周脓肿分期准确率为98.86%(174/176),2例中期误诊为早期;超声诊断肛周脓肿分型准确率98.86%(174/176),2例Ⅴ型误诊为Ⅳ型。超声诊断肛瘘分型准确性为96.88%(93/96),3例复杂性肛瘘误诊为括约肌间型肛瘘。超声诊断肛瘘内口、主管、瘘管准确率分别为97.46%、100%、90.63%。结论超声诊断是肛周脓肿及肛瘘的有效辅助检测手段,可为分型、分期等病理情况的判断提供依据,从而为临床治疗方案的制定提供参考。
[Abstract]:Objective to evaluate the value of ultrasound in the diagnosis of perianal abscess and anal fistula. Methods 272 patients with perianal abscess or anal fistula admitted in our hospital from February 2015 to February 2016 were selected as study subjects. The ultrasonic scanning of anal canal and surrounding soft tissue was performed before operation. The results of operation and pathology were taken as gold standard. To analyze the accuracy of ultrasonography in the diagnosis of perianal abscess and anal fistula, and to observe the accuracy of the classification of perianal abscess, anal fistula, anal fistula and anal fistula. Results 176 cases of perianal abscess and 96 cases of anal fistula were detected by ultrasound. The accuracy of ultrasonic diagnosis in staging perianal abscess was 98.86% (174 / 176) and that in type V was 98.86% (174 / 176), and that in type V was 98.86% (174 / 176). The accuracy of ultrasonic diagnosis of anal fistula was 96.88% (93 / 96). 3 cases of complex anal fistula were misdiagnosed as sphincter type anal fistula. The accuracy of ultrasonic diagnosis of anal fistula was 97.46 ~ 100 and 90.63 respectively. Conclusion Ultrasonic diagnosis is an effective auxiliary method for the detection of perianal abscess and anal fistula, which can provide the basis for the diagnosis of pathological conditions such as classification and staging, thus providing a reference for the formulation of clinical treatment plan.
【作者单位】：滁州市第一人民医院超声科;
【分类号】：R657.1

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