CAJ | 학술논문

目的探讨三维肛管直肠腔内超声定位肛瘘内口、显示瘘管走行的价值.方法 2008年11月至2010年1月应用三维肛管直肠腔内超声检查肛瘘患者127例,在三维立体模块中根据声像图特征进行内口定位、瘘管走行追踪.结果定位内口116例,准确率91.3%(116/127),其中112例患者内口开口于齿线处,4例发现内口于直肠壶腹;127例患者定位主管,准确率100%(127/127),其中经括约肌瘘75例,括约肌间瘘47例,括约肌上瘘2例,括约肌外瘘3例;定位支管37例,准确率100%(37/37).结论应用三维肛管直肠腔内超声检查肛瘘,能够准确定位内口、显示瘘管走行,能为临床治疗方法的选择提供必要的诊断依据.
목적 탐토삼유항관직장강내초성정위항루내구、현시루관주행적개치.방법 2008년11월지2010년1월응용삼유항관직장강내초성검사항루환자127례,재삼유입체모괴중근거성상도특정진행내구정위、루관주행추종.결과 정위내구116례,준학솔91.3%(116/127),기중112례환자내구개구우치선처,4례발현내구우직장호복;127례환자정위주관,준학솔100%(127/127),기중경괄약기루75례,괄약기간루47례,괄약기상루2례,괄약기외루3례;정위지관37례,준학솔100%(37/37).결론 응용삼유항관직장강내초성검사항루,능구준학정위내구、현시루관주행,능위림상치료방법적선택제공필요적진단의거.
Objective To evaluate the efficacy of three-dimensional anal and endorectal ultrasound in identifying the internal opening and tracing the tract of the anorectal fistula. Methods From November 2008 to January 2010, 127 patients suffering anorectal fistula were managed with three-dimensional endoanal and endorectal ultrasound. The internal opening, the tract of the fistula and fistula trace were identified by the ultrasonography with three-dimensional imaging. All results were confirmed and compared with findings from the operation. Results The internal opening of the fistula was specified in 116 patients, the accuracy rate was 91.3% (116/127). The internal opening of the fistula was located above the dentate line in 112 patients, and located in rectal ampulla in 4 patients. The main fistula tract was identified in all the patients,the accuracy rate was 100%. In this group, the fistula tunneled as follows: trans-sphincteric in 47 patients,intersphincteric in 75 cases, suprasphincteric in 2 cases, extrasphincteric in 3 patients. Secondary extension was found in 37 patients,the accuracy rate was 100% (37/37). Conclusions Three-dimensional anal and endorectal ultrasound is an effective way for localizing the internal opening and the tract of anorectal fistula.It can provide valuable information for curative operation.