摘要
目的探讨联合应用高频浅表小器官探头及经直肠腔内探头超声检查对肛周脓肿手术的指导价值。方法回顾性分析经手术治疗且术前超声检查的110例肛周脓肿患者的临床资料。以手术结果为依据,比较高频浅表联合腔内探头与单纯应用高频浅表探头对肛周脓肿的检查情况及术后治愈情况。结果单纯应用高频浅表探头患者53例,其中,对脓肿合并肛瘘、瘘管内口位置诊断符合率分别为73.8%(31/42)、57.1%(24/42),一次性手术治愈率为64.2%;高频浅表联合腔内探头患者57例,对脓肿合并肛瘘、瘘管内口位置诊断符合率为94.5%(52/55)、90.9%(50/55),一次性手术治愈率为93.0%。联合超声检查与单纯浅表超声探头检查比较,不论是脓肿合并肛瘘、瘘管内口位置诊断符合率还是一次性手术治愈率,差异均具有统计学意义(P<0.05)。结论高频浅表与腔内探头联合应用对肛周脓肿手术具有较高的指导价值。
Objective To study the guidance value of high-frequency combined with superficial small organs probe and cavity probe in surgery of perianal abscess. Methods The clinical data of 110 patients with perianal abscess with anal fistula through primary radical treatment and ultrasonic examination were analyzed. According to surgical findings, the ultrasound imaging characteristics and cure rates for different ultrasonic examination method were compared. Results The diagnostic coincidence rates were 73.8% （31/ 42） and 57.1% （24/42） for fistula internal orifice and the direction of the fistula in high-frequency superficial probe, were 94.5% （52/55） and 90.9% （50/55） in the combined use of high-frequency superficial and cavity probe, one-time cure rates were 64.2% and 93.0%, respectively. Compared between combined use of simple probe and high-frequency probe, not only perianal abscess with anal fistula , the diagnostic coincidence rate but also one-time cure rate, the difference had statistical significance （P 〈 0.05）. Conclusions It is of high guidance value to surgery of perianal abscess in combined use of high-frequency superficial small organs probe and cavity probe.
出处
《武警医学》
CAS
2014年第6期602-604,共3页
Medical Journal of the Chinese People's Armed Police Force
关键词
超声诊断
肛周脓肿
肛瘘
联合应用探头
ultrasonic diagnosis, perianal abscess, anal fistula, combined use diagnostic probe
