直肠腔内超声对肛瘘术后愈合情况的评估

doi:10.3969/j.issn.1674-1633.2017.07.012

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摘要目的观察肛瘘手术后3个月后肛管手术区域超声图像变化，对肛瘘术后愈合情况进行评估。方法对2015年1月~12月期间，在我院手术治疗的141例肛瘘患者术后3个月时肛管手术区域的直肠腔内超声检查图像进行超声评分，包括手术区域回声改变、边界清晰程度、形态转变和厚度的变化，超声评分为0~2分的为有瘢痕化趋势，超声评分3~4分的为有复发趋势。评价结果与术后 6个月时患者复诊的愈合情况进行对照分析。结果超声评价为瘢痕化趋势的0~2分组与评价为复发趋势的3~4分组，两组患者超声判断预后的准确性差异显著，c2=55.726，P=0.001，差异具有统计学意义，提示超声对0~2分组的术后3个月愈后评估准确度高，准确率100%，而对3~4分组的术后 3个月愈后评估准确度相对低，准确率为58.3%。结论直肠腔内超声操作简单，价格低，无创，患者易耐受，对肛瘘术后愈合良好的情况可以作出准确的分析评价，可以作为肛瘘术后评价的影像学方法。

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	熊芳
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	沈远
	韦兰

关键词 ：直肠腔内超声, 肛瘘, 手术, 瘢痕, 愈合

Abstract：Objective This paper aimed to observe anal fistula ultrasound image in the postoperative 3 months to evaluate healing of anal fistula. Methods From January 2015 to December 2015, the postoperative after 3 months echo anal ultrasound images of 141 patients with anal fistula were analyzed and scored, including changes of echo, boundary, shape and thickness. The score of ultrasound was 0~2 points, had a trend of scar, grade 3~4 points had a relapse tendency. The evaluation results were subsequently compared with follow-up visits after postoperative 6 months. Results The ultrasonic evaluation for scarring trend of 0~2 group and evaluation for relapse tendency of 3~4 group, the two groups of ultrasonic prognosis had significant difference, c2=55.726, P=0.001, 0~2 group had high accuracy, and for 3~4 group accuracy was relatively low. Conclusion Echo anal ultrasound can provide accurate analysis and evaluation on postoperative good health for anal fistula.

Key words： echo anal ultrasound anal fistula operation heal

收稿日期: 2016-10-14

:	R657.1
	R445.1

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引用本文:

熊芳，熊蕾蕾，沈远，韦兰. 直肠腔内超声对肛瘘术后愈合情况的评估[J]. 中国医疗设备, 2017, 32(7): 41-43.
XIONG Fang, XIONG Lei-lei, SHEN Yuan, WEI Lan. Evaluation of Postoperative Healing of Anal Fistula with Endoanal Ultrasounds. China Medical Devices, 2017, 32(7): 41-43.

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http://cs.china-cmd.org/zgylsb/CN/10.3969/j.issn.1674-1633.2017.07.012 或 http://cs.china-cmd.org/zgylsb/CN/Y2017/V32/I7/41

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