长轴和短轴追踪扫查联合超声造影在肛瘘诊断中的应用价值  

Application Value of Combined Long-Axis and Short-Axis Tracking Scanning Contrast-Enhanced Ultrasound in Diagnosis of Anal Fistula

作　　者：司建波 顾珂祯 顾学阁 SI Jian-bo;GU Ke-zhen;GU Xue-ge(Ultrasound Department of West Hospital of Nanyang First People's Hospital,Nanyang,Henan 473000;First Surgical Department of Nanyang Wolong First People's Hospital,Nanyang,Henan 473000;Ultrasound Department of Nanyang Wolong First People's Hospitall,Nanyang,Henan 473000)

机构地区：[1]南阳市第一人民医院西区医院超声科,河南南阳473000 [2]南阳市卧龙区第一人民医院外一科,河南南阳473000 [3]南阳市卧龙区第一人民医院超声科,河南南阳473000

出　　处：《中国肛肠病杂志》2024年第2期26-28,共3页Chinese Journal of Coloproctology

基　　金：河南省医学科技攻关计划项目(201703256)。

摘　　要：目的:探讨长轴短轴追踪扫查联合超声造影在肛瘘诊断中的应用价值。方法:选取2019年1月至2022年12月我院收治的62例肛瘘患者为研究对象,患者均行长轴、短轴追踪扫查超声造影检查,将检查结果和手术结果对比,分析长轴短轴追踪扫查联合超声造影诊断肛瘘的效果。结果:长轴短轴追踪扫描联合超声造影对内口的诊断准确率略高于短轴追踪扫描超声造影,差异无统计学意义(P>0.05);长轴短轴追踪扫描联合超声造影对内口的诊断准确率明显高于长轴追踪扫描超声造影,差异有统计学意义(P<0.05)。长轴短轴追踪扫描联合超声造影、短轴追踪扫描超声造影对主瘘管的诊断准确率高于长轴追踪扫描超声造影(P<0.05),长轴短轴追踪扫描联合超声造影、短轴追踪扫描超声造影对主瘘管的诊断准确率比较无明显差异(P>0.05)。长轴短轴追踪扫描联合超声造影对支瘘管的诊断准确率高于长轴和短轴追踪扫描超声造影(P<0.05),长轴、短轴追踪扫描超声造影对支瘘管的诊断准确率比较无明显差异(P>0.05)。长轴短轴追踪扫描联合超声造影对肛瘘分型的诊断准确性高于长轴和短轴追踪扫描超声造影(P<0.05)。结论:长轴短轴追踪扫查联合超声造影可更清晰地观察肛瘘内口、主瘘管、支瘘管等情况,提高肛瘘分型诊断准确性。Objective To explore the application value of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound in the diagnosis of anal fistula.Methods A total of 62patients with anal fistula admitted to our hospital from January 2019to December 2022were selected as the research objects.All patients underwent combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound examination.The examination results were compared with the surgical results,and the effect of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound in the diagnosis of anal fistula was analyzed.Results The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound for internal opening was slightly higher than that of short-axis tracking scanning contrast-enhanced ultrasound,but the difference was not statistically significant(P>0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound for internal opening was significantly higher than that of long-axis tracking scanning contrast-enhanced ultrasound,and the difference was statistically significant(P<0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultrasound for main fistula was higher than that of long-axis tracking scanning contrast-enhanced ultrasound(P<0.05),and there was no significant difference between combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultrasound for main fistula(P>0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound for branch fistula was higher than that of longaxis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultrasound(P<0.05),and there was no significant difference between long-axis tracking scanning cont

关 键 词：肛瘘 长轴追踪扫查 短轴追踪扫查 超声造影 内口 主瘘管 支瘘管 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R657.16[医药卫生—诊断学]