CAJ | 학술논문

目的：探讨超声在肛周感染性疾病的诊断和治疗中的价值，为疾病的早期诊断与治疗提供依据。方法选择2012年3月－2013年2月医院收治的肛周感染性疾病患者64例，所有患者手术前均接受超声检查，将超声诊断与术中所见进行对比分析，评价超声在肛周感染性疾病诊断和治疗中的价值。结果64例患者均经手术确诊，其中单纯性肛周脓肿最多，共34例占53．12％；超声对肛周感染性疾病的诊断符合率为92．19％，其中单纯性肛周脓肿为94．12％、复合型肛周脓肿为78．57％、肛瘘为100．00％；肛周脓肿患者肛周软组织表现为回声增强，可见一形态不一、大小不等的包块，包块表现为低回声或无回声，包块周边可见少许血流信号；肛瘘患者瘘道表现为管状低回声区，腔内可见液性暗区或不均质回声区，未见明显血流信号。结论超声对肛周感染性疾病诊断符合率高，能够对肛周感染性疾病做出准确的分型，且能够提供脓肿大小和范围等信息，为临床治疗提供帮助，具有现实的临床意义。
목적：탐토초성재항주감염성질병적진단화치료중적개치，위질병적조기진단여치료제공의거。방법선택2012년3월－2013년2월의원수치적항주감염성질병환자64례，소유환자수술전균접수초성검사，장초성진단여술중소견진행대비분석，평개초성재항주감염성질병진단화치료중적개치。결과64례환자균경수술학진，기중단순성항주농종최다，공34례점53．12％；초성대항주감염성질병적진단부합솔위92．19％，기중단순성항주농종위94．12％、복합형항주농종위78．57％、항루위100．00％；항주농종환자항주연조직표현위회성증강，가견일형태불일、대소불등적포괴，포괴표현위저회성혹무회성，포괴주변가견소허혈류신호；항루환자루도표현위관상저회성구，강내가견액성암구혹불균질회성구，미견명현혈류신호。결론초성대항주감염성질병진단부합솔고，능구대항주감염성질병주출준학적분형，차능구제공농종대소화범위등신식，위림상치료제공방조，구유현실적림상의의。
OBJECTIVE To explore the value of ultrasound in diagnosis and treatment of perinatal infectious disease so as to provide guidance for early diagnosis and treatment of the disease .METHODS A total of 64 patients with perianal infectious disease who were treated in the hospital from Mar 2012 to Feb 2013 were enrolled in the study , then all the patients received the ultrasound examination before the surgery ,the ultrasound diagnosis was com‐pared with the intraoperative findings ,and the value of the ultrasound examination in the diagnosis and treatment of perianal infectious disease was evaluated .RESULTS Of 64 patients confirmed as the perianal infectious disease through the surgery ,34 had the single perianal abscess ,accounting for 53 .12% ;the accordance rate of the ultra‐sound was 92 .19% for the diagnosis of the perianal infectious disease ,94 .12% for the diagnosis of single perianal abscess ,78 .57% for the diagnosis of complex perianal abscess ,100 .00% for the diagnosis of anal fistula .The manifestations of the perianal soft tissues of the patients with perianal abscess included the echo enhancement and visible masses varying in the shape and size which were characterized by low echo or no echo or few blood flow sig‐nals visible around the masses .The fistulous tracts of the patients with anal fistula manifested by the tubular low echo area ,liquid dark area or heterogeneous echo area visible in the cavity ,or no significant blood flow signal . CONCLUSION The accordance rate of the ultrasound in the diagnosis of perianal infectious disease is high ,it can contribute the accurate typing of the perianal infectious disease and offer the information about the size and scope of the abseces so as to achieve real clinical significance in facilitating the clinical treatment .