摘要
目的分析术前MR检查在腔内悬吊挂线法和高位置管引流术治疗高位肛瘘疗效中的应用价值。方法以我院收治的78例高位肛瘘患者为研究对象,术前行MR检查,检查后行腔内悬吊挂线法和高位置管引流术治疗。统计MR检查对肛瘘位置及内口诊断的正确率;评价患者的临床治疗效果及术后并发症的发生率;并随访观察术后复发情况。结果MR检查对肛瘘位置及内口诊断的正确率分别为82.05%和87.18%,患者临床治疗总有效率为92.31%,术后并发症为10.26%,术后复发为1.2%。结论高位肛瘘患者术前行MR检查能提高肛瘘位置及内口诊断的正确率,腔内悬吊挂线法可提高手术效果,降低患者术后并发症的发生率,减少复发。
Objective To analyze the value of preoperative MR examination in the treatment of high anal fistula by intraluminal suspension and high position tube drainage.Methods 78 cases of high anal fistula in our hospital were taken as the research object.Before operation,MR examination was performed.After examination,suspension wire and high position tube drainage were performed.Statistical MR examination of the location of anal fistula and the correct rate of diagnosis of internal orifice,evaluation of clinical efficacy and the incidence of complications after surgery,and follow-up observation of recurrence after surgery.Results The correct rate of MR examination in diagnosis of anal fistula location and internal orifice was 82.05% and 87.18%,respectively.The total effective rate of clinical treatment was 92.31%,the complications were 10.26%,and the recurrence rate was 1.2%.Conclusion Preoperative MR examination for high anal fistula patients can improve the accuracy of diagnosis of the position and internal orifice of anal fistula.Intracavity suspension line method can improve the operation effect,reduce the incidence of postoperative complications and reduce recurrence.
作者
潘兆春
钱海华
陈岩
高希法
祝新
PAN Zhao-chun;QIAN Hai-hua;Chen Yan(Department of Radiology,Affiliated Hospital of Nanjing University of Traditional Chinese Medicine(Jiangsu Hospital of Traditional Chinese Medicine),Nanjing 210029,Jiangsu Province,China;不详)
出处
《中国CT和MRI杂志》
2019年第12期113-116,共4页
Chinese Journal of CT and MRI
基金
国家科技支撑计划项目(2015BAI04B02)
关键词
高位肛瘘
腔内悬吊挂线法
MR
High Anal Fistula
Intraluminal Hanging Wire Method
MR
