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多层螺旋CT在复杂性肛瘘中应用研究

Application of MSCT in complex anal fistula

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目的 研究多层螺旋CT(MSCT)在复杂性肛瘘中的应用价值.方法 回顾性分析医院收治的35例复杂性肛瘘患者的临床资料,术前均行MSCT检查,原始数据应用多平面重建技术(MPR)、容积重建技术(VR)和曲面重建处理,所得结果与手术结果进行对照,分析MSCT临床诊断准确率.结果 经MSCT检查发现16例为低位复杂性肛瘘,19例为高位复杂性肛瘘.MSCT对复杂性肛瘘分型的准确率为100%,对复杂性肛瘘内口定位的准确率、敏感性、特异性分别为92.45%、95.17%、68.74%,对复杂性肛瘘支管的检出率为90.79%.结论 MSCT诊断复杂性肛瘘准确率高,对手术方案的制定有重要的指导意义.
Objective To study the application yalue of MSCT in complex anal fistula.Methods The data on 35 patients with complex anal fistula,who received MSCT examination before the operation in our hospital,were retrospectively analyzed.The raw data were processed by use of the technologies of multi-plane reconstruction (MPR),volume reconstruction (VR) and surface reconstruction and the results were compared with the operation results in order to analyze the clinical diagnostic accuracy of MSCT.Results From MSCT examination detected lower complex anal fistula in 16 cases and higher complex anal fistula in 19 cases.The accuracy of MSCT in the classification of complex anal fistula was 100%,and the accuracy,sensitivity and specificity in positioning the internal stoma of complex anal fistula was 92.45%,95.17% and 68.74% respectively.The detection rate of the branch of complex anal fistula was 90.79%.Conclusion MSCT has high accuracy in the diagnosis of complex anal fistula and has important guiding significance in development of operation plan.

MSCTcomplex anal fistuladiagnosis

胡琼菊、刘慧敏

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431700 湖北天门,天门市第一人民医院肛肠外科

多层螺旋CT 复杂性 肛瘘 诊断

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(5)
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