摘要
目的分析经直肠双平面腔内超声对肛瘘及其分型的诊断价值。方法选取2015年12月—2017年12月我院收治的78例确诊为肛瘘并行手术者分析,经手术证实后,对照分析患者肛瘘分型与术后确诊病理诊断结果 ;对照分析患者肛瘘内口及肛管与术后确诊的符合程度。结果 78例患者中出现4例复杂型漏诊,3例因内口和支管位置高而被错误地诊断为单纯型肛瘘,肛瘘分型诊断准确率高达94.9%,内口诊断与手术确诊符合率为92.0%,主管诊断与手术确诊符合率为97.5%,支管诊断与手术确诊符合率为72.0%。结论经直肠双平面腔内超声对肛瘘及其分型具有诊断价值,其为肛瘘的临床诊断与术式选择提供了更为精准的信息。
Objective To analyze the diagnostic value of transrectal dual plane ultrasound in the diagnosis of anal fistula and its classification. Methods From December 2015 to December 2017, 78 patients diagnosed with anal fistula were selected in our hospital. After operation was confirmed, the anal fistula type of the control group was confirmed by pathological diagnosis after operation; Oral and anal canal diagnosed with the degree of compliance. Results There were 4 complicated missed diagnoses in 78 cases, 3 cases were diagnosed as simple type of anal fstula by mistake because of the high position of internal orifces and branches. The accuracy rate of anal fstula type diagnosis is as high as 94.9%. The coincidence rate between internal diagnosis and operative diagnosis was 92.0%. The coincidence rate between diagnosis and operative diagnosis was 97.5%. The coincidence rate between branch diagnosis and operative diagnosis was 72/0%. Conclusion Transrectal double-planar ultrasound has diagnostic value for anal fstula and its classifcation. It provides more accurate information for clinical diagnosis and surgical selection of anal fstula.
作者
黄富玲
HUANG Fuling(Department of Ultrasound,First People＇s Hospital of Wanzhou District of Chongqing,Chongqing 404000,China)
出处
《中国继续医学教育》
2018年第25期45-46,共2页
China Continuing Medical Education
关键词
经直肠双平面腔内超声
肛瘘
分型
漏诊
符合率
诊断价值
transrectal biplanar intraluminal ultrasound
anal fistula
classifcation
missed diagnosis
coincidence rate
diagnostic value
