3.0T磁共振成像联合多层螺旋电子计算机断层扫描对肛瘘临床分型的诊断价值  

Diagnostic value of 3.0 T magnetic resonance imaging combined with multi-slice spiral computed tomography in clinical classification of anal fistula

作　　者：徐轶楠 王海红 底胜霞 陈雷 马燕山[1] 焦浩 XU Yinan;WANG Haihong;DI Shengxia;CHEN Lei;MA Yanshan;JIAO Hao(Radiology Department,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050051,China;Third Anorectal Department,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050051,China)

机构地区：[1]石家庄市中医院放射科,河北石家庄050051 [2]石家庄市中医院肛肠三科,河北石家庄050051

出　　处：《安徽医药》2024年第12期2448-2451,共4页Anhui Medical and Pharmaceutical Journal

基　　金：河北省2020年度中医药类科研计划项目(2020332)。

摘　　要：目的探讨3.0 T磁共振成像(MRI)联合多层螺旋电子计算机断层扫描(MSCT)对肛瘘临床分型的诊断价值。方法回顾性分析2020年1月至2022年5月在石家庄市中医院经手术证实的126例肛瘘病人临床资料,术前均行3.0 T MRI和MSCT检查。根据Parks分类法对比3.0 T MRI和MSCT对肛瘘病人检查的准确率,分析两项联合对肛瘘临床分型的诊断价值。结果3.0 T MRI联合MSCT诊断肛瘘外口的准确率(99.03%)高于MSCT单独诊断(90.29%),联合诊断主瘘管的准确率(100.00%)高于3.0 T MRI、MSCT各自单独诊断(93.65%、91.27%)(P<0.01),联合诊断肛瘘内口、瘘管分支、脓肿与各自单独诊断比较均差异无统计学意义(P>0.05);3.0 T MRI联合MSCT诊断括约肌间型、经括约肌型、括约肌上型、括约肌外型与手术结果的符合率分别为98.48%、100.00%、100.00%、100.00%。结论3.0 T MRI联合MSCT对肛瘘临床分型有良好的诊断价值。Objective To investigate the diagnostic value of 3.0 T magnetic resonance imaging(MRI)combined with multi-slice spiral computed tomography(MSCT)in the clinical classification of anal fistula.Methods The clinical data of 126 patients with anal fistula confirmed by surgery at Shijiazhuang Hospital of Traditional Chinese Medicine from January 2020 to May 2022 were retrospectively analyzed.3.0 T MRI and MSCT were performed before operation.The accuracies of 3.0 T MRI and MSCT in the examination of patients with anal fistula were compared according to Parks classification,and the diagnostic value of the combination of the two methods for clinical classification of anal fistula was analyzed.Results The accuracy rate of 3.0 T MRI combined with MSCT in the diagnosis of the external stoma of anal fistula(99.03%)was higher than that of MSCT alone in diagnosis(90.29%),and the accuracy rate of combined diagnosis of main fistula(100.00%)was higher than that of 3.0 T MRI and MSCT respectively alone in diagnosis(93.65%,91.27%)(P<0.01);there were no statistically significant differences in the internal stoma,fistula branch of anal fistula and abscess between the combined diagnosis and respective diagnosis with 3.0 T MRI or MSCT alone(P>0.05).The diagnostic coincidence rates of 3.0 T MRI combined with MSCT in the diagnoses of inter sphincter type,trans sphincter type,suprasphincter type and sphincter external shape with surgical results were 98.48%,100.00%,100.00%and 100.00%,respectively.Conclusion 3.0 T MRI combined with MSCT has good diagnostic value for clinical classification of anal fistula.

关 键 词：直肠瘘 3.0 T磁共振成像 多层螺旋电子计算机断层扫描 临床分型 诊断 

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]