长轴和短轴追踪扫查联合超声造影在肛瘘诊断中的应用价值
Application Value of Combined Long-Axis and Short-Axis Tracking Scanning Contrast-Enhanced Ultrasound in Diagnosis of Anal Fistula
司建波 1顾珂祯 2顾学阁3
作者信息
- 1. 南阳市第一人民医院西区医院超声科(河南南阳 473000)
- 2. 南阳市卧龙区第一人民医院外一科(河南南阳 473000)
- 3. 南阳市卧龙区第一人民医院超声科(河南南阳 473000)
- 折叠
摘要
目的:探讨长轴短轴追踪扫查联合超声造影在肛瘘诊断中的应用价值.方法:选取2019年1月至2022年12月我院收治的62例肛瘘患者为研究对象,患者均行长轴、短轴追踪扫查超声造影检查,将检查结果和手术结果对比,分析长轴短轴追踪扫查联合超声造影诊断肛瘘的效果.结果:长轴短轴追踪扫描联合超声造影对内口的诊断准确率略高于短轴追踪扫描超声造影,差异无统计学意义(P＞0.05);长轴短轴追踪扫描联合超声造影对内口的诊断准确率明显高于长轴追踪扫描超声造影,差异有统计学意义(P＜0.05).长轴短轴追踪扫描联合超声造影、短轴追踪扫描超声造影对主瘘管的诊断准确率高于长轴追踪扫描超声造影(P＜0.05),长轴短轴追踪扫描联合超声造影、短轴追踪扫描超声造影对主瘘管的诊断准确率比较无明显差异(P＞0.05).长轴短轴追踪扫描联合超声造影对支瘘管的诊断准确率高于长轴和短轴追踪扫描超声造影(P＜0.05),长轴、短轴追踪扫描超声造影对支瘘管的诊断准确率比较无明显差异(P＞0.05).长轴短轴追踪扫描联合超声造影对肛瘘分型的诊断准确性高于长轴和短轴追踪扫描超声造影(P＜0.05).结论:长轴短轴追踪扫查联合超声造影可更清晰地观察肛瘘内口、主瘘管、支瘘管等情况,提高肛瘘分型诊断准确性.
Abstract
Objective To explore the application value of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound in the diagnosis of anal fistula.Methods A total of 62 patients with anal fistula admitted to our hospital from January 2019 to December 2022 were selected as the re-search objects.All patients underwent combined long-axis and short-axis tracking scanning contrast-en-hanced ultrasound examination.The examination results were compared with the surgical results,and the effect of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound in the diagnosis of anal fistula was analyzed.Results The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound for internal opening was slightly higher than that of short-axis tracking scanning contrast-enhanced ultrasound,but the difference was not statistically significant(P＞0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-en-hanced ultrasound for internal opening was significantly higher than that of long-axis tracking scanning contrast-enhanced ultrasound,and the difference was statistically significant(P＜0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultrasound for main fistula was higher than that of long-axis tracking scanning contrast-enhanced ultrasound(P＜0.05),and there was no significant difference be-tween combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultrasound for main fistula(P＞0.05).The diagnostic accuracy of combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound for branch fistula was higher than that of long-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scan-ning contrast-enhanced ultrasound(P＜0.05),and there was no significant difference between long-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultra-sound for branch fistula(P＞0.05).The diagnostic accuracy of combined long-axis and short-axis track-ing scanning contrast-enhanced ultrasound for anal fistula classification was higher than that of long-axis tracking scanning contrast-enhanced ultrasound and short-axis tracking scanning contrast-enhanced ultra-sound(P＜0.05).Conclusion Combined long-axis and short-axis tracking scanning contrast-enhanced ultrasound can more clearly observe the internal opening,main fistula,branch fistula and other conditions of anal fistula,and improve the diagnostic accuracy of anal fistula classification.
关键词
肛瘘/长轴追踪扫查/短轴追踪扫查/超声造影/内口/主瘘管/支瘘管/诊断Key words
Anal fistula/Long-axis tracking scanning/Short-axis tracking scanning/Contrast-enhanced ultrasound/Internal opening/Main fistula/Branch fistula/Diagnosis引用本文复制引用
基金项目
河南省医学科技攻关计划(201703256)
出版年
2024
国家科技期刊平台
NSTL
万方数据