复杂性肛瘘术前低场MRI影像检查的临床价值探讨  

Clinical application of MRI in the management of complex anal fistulas

作　　者：姚群立[1] 孟浩[2] 张志国[1] 陈晓宇[1] 郑宇平[1] 张磊[1] 黄庭萸 

机构地区：[1]南京中医药大学附属张家港市中医院放射科,215600 [2]南京中医药大学附属张家港市中医院肛肠科,215600

出　　处：《中华全科医师杂志》2014年第3期219-221,共3页Chinese Journal of General Practitioners

基　　金：张家港市科技发展项目基金（ZKS1113）

摘　　要：对24例临床复杂性肛瘘患者进行常规MRI序列检查,分析MRI显示的肛瘘内口、外口、瘘管、肛周脓肿及其数量,并以手术结果为准进行分析.MRI检查显示24例的内口、外口、瘘管、肛周脓肿数的准确率分别为87%（26/30）、97%（31/32）、92%（47/51）、16/17.提示MRI有助于准确评估复杂性肛瘘的范围与复杂程度,可指导外科手术治疗方案的选择.To explore the accuracy and clinical value of preoperative MRI for complex anal fistulas. The MRI status of internal/external opening, fistula track and perianal abscess was analyzed for 24 complex anal fistulas patients. Their outcomes were compared with the final surgical diagnoses. The accuracy rates of internal opening, external opening, fistula tracks and perianal abscess were 87% , 97% , 92% and 16/17 respectively. MRI is helpful for evaluating accurately the extent and complexity of anal fistulas and guiding surgical therapy.

关 键 词：直肠瘘 磁共振成像 

分 类 号：R657.1[医药卫生—外科学] R445.2[医药卫生—临床医学]