复杂性肛瘘的中医证型与临床资料及MRI特征的相关性研究  

Study on TCM syndrome of complex anal fistula and its correlation with MRI characteristics

作　　者：孔德伟[1] 王嵩[1] KONG Dewei;WANG Song(Department of Radiology,Longhua Hospital 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》2021年第2期112-114,123,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：上海中医药大学附属龙华医院人才基金(Y1803)。

摘　　要：目的:分析复杂性肛瘘的中医证型与临床资料及MRI特征的相关性,为该病的中医辨证分型提供客观依据。方法:收集58例复杂性肛瘘的临床资料及MRI表现,包括性别、年龄、身高、体质量、体质量指数(BMI)、既往脓肿史等,记录患者中医证候及分型。MRI观察主瘘管的信号强度、内口位置、长度、深度及支管信号强度等影像学参数。结果:58例中湿热下注证占81.0%(47/58),正虚邪恋证占19.0%(11/58)。高位复杂性肛瘘患者中湿热下注证比例(90.6%,29/32)高于低位组(69.2%,18/26)。复杂性肛瘘中湿热下注证较正虚邪恋证男性比例高、病程短、肛周脓肿史患者多、BMI大(均P<0.05)。复杂性肛瘘患者中湿热下注证瘘管的信号强度高于正虚邪恋证(P=0.013)。结论:复杂性肛瘘的中医证型与临床资料及MRI征象有一定的相关性,MRI特征可为其中医辨证分型提供依据。Objectives:To analyze the clinical data,MRI characteristics of different traditional Chinese medicine(TCM)syndrome types of complex anal fistula patients,so as to provide reference for clinical treatment of integrated TCM and western medicine.Methods:The clinical data and relevant data of 58 patients with complex anal fistula were collected,including general data such as gender,age,height,weight,body mass index(BMI),past abscess history,etc.the TCM syndrome of patients were recorded and classified.MRI was used to collect imaging parameters such as signal intensity of main fistula,position of inner mouth,length of main fistula and depth of main fistula.Results:There were 58 patients with complex anal fistula,81.0%of them were dampness-heat attacking lower energizer(DHALE),19.0%of them were syndrome of deficient vital energy leading to lingering of pathogen(DVELP).The proportion of DHALE in high complex anal fistula patients(90.6%)was higher than that in low complex anal fistula patients(69.2%).In the patients with DHALE,the proportion of male with DHALE was higher,the course of disease was shorter,patients with history of abscess were more,and the BMI was higher than those of patients with DVELP(P<0.05).In the patients with complex anal fistula,the signal intensity of the fistula in the DHALE was higher than that in the DVELP(P=0.013).Conclusions:The characteristics of TCM syndrome of anal fistula can be found in the basic data and MRI signs.MRI characteristics could be used as reference information for syndrome differentiation.

关 键 词：直肛瘘 磁共振成像 

分 类 号：R266[医药卫生—中医外科学]