浅表高频探头联合腔内探头诊断肛周脓肿和肛瘘的价值  

Value of Superficial High Frequency Probe Combined with Intraluminal Probe in Diagnosing Perianal Abscess and Anal Fistula

作　　者：常娟[1] 陶芸飞 张秀红[1] CHANG Juan;TAO Yunfei;ZHANG Xiuhong(Department of Ultrasound,Rugao Chinese Hospital,Rugao,Jiangsu Province,226500 China)

机构地区：[1]江苏省如皋市中医院超声科,江苏如皋226500

出　　处：《世界复合医学》2023年第1期123-126,共4页World Journal of Complex Medicine

摘　　要：目的 探讨对肛周脓肿与肛瘘采用浅表高频探头联合腔内探头诊断的价值。方法 选择2021年4月—2022年3月江苏省如皋市中医院收治的疑似80例肛周脓肿或(合)肛瘘患者,均进行浅表高频探头、腔内探头进行诊断,以手术结果为金标准,比较联合检测、浅表高频探头、腔内探头的诊断效能,并评价联合诊断与金标准的一致性。结果 联合检测诊断准确率(98.75%)高于浅表高频探头(87.50%)、腔内探头(90.00%),差异有统计学意义(χ^(2)=7.111、5.143,P<0.05)。联合检测鉴别诊断一致性好(Kappa=1.00)。结论 对肛周脓肿与肛瘘采用浅表高频探头联合腔内探头检测诊断效能高,联合检测与金标准一致性好。Objective To investigate the value of using a superficial high frequency probe combined with intraluminal probe for the diagnosis of perianal abscess and anal fistula.Methods 80 patients suspected with perianal abscess or(combined)anal fistula admitted to Rugao Chinese Hospital from April 2021 to March 2022 were selected for diagnosis by superficial high frequency probe and intraluminal probe.Surgical outcome were taken as the gold standard,to compare the diagnostic efficacy of the combined detection,superficial probe,and evaluate the consistency of the combined diagnosis with the gold standard.Results The diagnostic accuracy of combined detection(98.75%)was higher than that of superficial high frequency probe(87.50%)and lumen probe(90.00%),and the difference was statistically significant(χ^(2)=7.111,5.143,P<0.05).The combination test was very consistent(Kappa=1.00).Conclusion The use of a superficial high frequency probe combined with intraluminal probe for the diagnosis of perianal abscess and anal fistula has high diagnostic efficacy,and the combined test is in good agreement with the gold standard.

关 键 词：浅表高频探头 腔内探头 肛周脓肿 肛瘘 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]