MRI在复杂性肛瘘治疗中的应用分析  

Application analysis of MRI for treatment of complex anal fistula

作　　者：张文龙[1] 王嵩[1] 姚晔[1] 李琼[1] ZHANG Wenlong;WANG Song;YAO Ye;LI Qiong(Department of Radiology,Longhua Hospital Affiliated of Shanghai University of TCM,Shanghai,200032,China)

机构地区：[1]上海中医药大学附属龙华医院放射科,上海200032

出　　处：《中国中西医结合影像学杂志》2018年第5期475-477,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：上海市卫生和计划生育委员会科研课题(201540198);上海申康医院发展中心辅助科室项目(SHDC22015024)

摘　　要：目的:探讨MRI在复杂性肛瘘治疗中的应用价值。方法:选择64例临床诊断为复杂性肛瘘的患者行MRI检查,并依据结果分为3组:低位组、单个高位内口组和多个高位内口组。将MRI与术中探查分组结果比较,并随访患者术后临床治愈率、术后并发症、肛门功能情况及近期复发率。结果:MRI与术中探查的分组结果差异无统计学意义(P> 0.05),患者采用相应的治疗方案取得了良好的治疗效果。结论:术前MRI检查对复杂性肛瘘的诊断和制订治疗方案具有较高的临床应用价值。Objective：To explore the application value of MRI for treatment of complex anal fistula. Methods：64 patients infected with complex anal fistula underwent MRI. All the patients were divided into three groups by MRI. Compared with results of surgical exploration,observed the patients with clinical cure rate,complications,anal function after operation and recurrence rate. Results：There was no significant difference between the results grouping by MRI and by surgical exploration. Every group had good therapeutic effect by different treatment strategy. Conclusions：The preoperative examination of MRI has a high clinical value in the diagnosis and drawing up treatment plan of complex anal fistula.

关 键 词：磁共振成像 直肠瘘 治疗方案 

分 类 号：R445.2[医药卫生—影像医学与核医学] R657.16[医药卫生—诊断学]