| 徐轶楠,王海红,底胜霞,等.3.0 T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[J].安徽医药,2024,28(12):2448-2451. |
| 3.0 T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 |
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| DOI：10.3969/j.issn.1009-6469.2024.12.023 |
| 中文关键词: 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 |
| 英文关键词: Rectal fistula 3.0 T magnetic resonance imaging Multi-slice spiral computed tomography Clinical classification Diagnosis |
| 基金项目:河北省 2020年度中医药类科研计划项目( 2020332) |
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| 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。 |
| 英文摘要: |
| Objective To investigate the diagnostic value of 3.0 T magnetic resonance imaging (MRI) combined with multi-slice spi-ral computed tomography (MSCT) in the clinical classification of anal fistula.Methods The clinical data of 126 patients with anal fis-tula confirmed by surgery at Shijiazhuang Hospital of Traditional Chinese Medicine from January 2020 to May 2022 were retrospective-ly analyzed. 3.0 T MRI and MSCT were performed before operation. The accuracies of 3.0 T MRI and MSCT in the examination of pa-tients with anal fistula were compared according to Parks classification, and the diagnostic value of the combination of the two methodsfor clinical classification of anal fistula was analyzed.Results The accuracy rate of 3.0 T MRI combined with MSCT in the diagnosisof the external stoma of anal fistula (99.03%) was higher than that of MSCT alone in diagnosis (90.29%), and the accuracy rate of com-bined 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 be-tween the combined diagnosis and respective diagnosis with 3.0 T MRI or MSCT alone (P>0.05). The diagnostic coincidence rates of3.0 T MRI combined with MSCT in the diagnoses of inter sphincter type, trans sphincter type, suprasphincter type and sphincter exter-nal 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. |
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