摘要
目的:探讨核磁共振(MRI)诊断复杂性肛瘘内口、分型的临床价值及对手术疗效的影响。方法:选取2021年4月至2024年3月我院收治的54例拟行手术治疗的复杂性肛瘘患者,随机分为观察组和对照组,每组27例。对照组患者使用常规超声检查,观察组患者使用MRI检查,比较2组患者影像学诊断、手术疗效、创面愈合时间与肛门功能以及术后并发症发生情况。结果:观察组患者内口、括约肌间型肛瘘、括约肌外型肛瘘、经括约肌型肛瘘术前诊断准确率高于对照组(P<0.05),2组括约肌上型肛瘘术前诊断准确率无统计学意义(P>0.05)。观察组患者手术治疗总有效率为92.59%,明显高于对照组的70.37%(P<0.05)。观察组患者创面愈合时间明显短于对照组(P<0.05)。术前2组患者肛门失禁Wexner评分比较差异无统计学意义(P>0.05),术后2个月2组患者肛门失禁Wexner评分均降低,且观察组低于对照组(P<0.05)。2组患者术后并发症发生率比较差异无统计学意义(P>0.05)。结论:MRI应用于复杂性肛瘘诊断中,能够提高复杂性肛瘘内口、分型的诊断准确率,增强手术治疗效果,有利于肛门功能的恢复与创面愈合,临床价值较高。
Objective To investigate the clinical value of magnetic resonance imaging(MRI)in the diagnosis and classification of internal opening of complex anal fistula,and its influence on surgical efficacy.Methods A total of 54 patients with complex anal fistula who were admitted to our hospital from April 2021 to March 2024 and underwent surgical treatment were randomly divided into the observation group and the control group,with 27 cases in each group.The patients in the control group were examined by conventional ultrasound,and the patients in the observation group were examined by MRI.The imaging diagnosis,surgical efficacy,wound healing time,anal function,and postoperative complications were compared between the two groups.Results The preoperative diagnostic accuracy rates of internal opening,intersphincteric anal fistula,extrasphincteric anal fistula,and transsphincteric anal fistula in the observation group were higher than those in the control group(P<0.05).There was no statistical significance in preoperative diagnostic accuracy of supramhincter anal fistula between the two groups(P>0.05).The total effective rate of surgical treatment in the observation group was 92.59%,which was significantly higher than 70.37%in the control group(P<0.05).The wound healing time in the observation group was significantly shorter than that in the control group(P<0.05).There was no statistically significant difference in the Wexner score of preoperative anal incontinence between the two groups(P>0.05).Two months after surgery,the Wexner score of anal incontinence in both groups decreased,which was lower in the observation group than in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion The application of MRI in the diagnosis of complex anal fistula can improve the diagnostic accuracy and classification of internal opening of complex anal fistula,enhance the effect of surgical treatment,and is conducive to the recovery of anal function and wound healing,with high clinical value.
作者
任向前
任建国
REN Xiang-qian;REN Jian-guo(Department of Magnetic Resonance Imaging,Yuxi Jianhe Hospital,Nanyang,Henan 473000;Department of Colorectal Burns,Yuxi Jianhe Hospital,Nanyang,Henan 473000)
出处
《中国肛肠病杂志》
2025年第1期36-39,共4页
Chinese Journal of Coloproctology
关键词
复杂性肛瘘
核磁共振成像
临床价值
手术疗效
Complex anal fistula
Magnetic resonance imaging
Clinical value
Surgical efficacy
