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目的探讨经直肠联合体表超声在肛周疾病中的诊断价值。方法采用经直肠腔内联合体表超声检查191例各类肛周疾病患者,所有超声检查结果均与手术结果或临床随访结果进行对照分析。结果 191例患者,4例因疼痛未完成检查,余患者效果满意。肛周脓肿54例(低位48例,高位6例);肛瘘71例(单纯性63例,复杂性8例);漏诊单纯肛瘘8例,2例复杂性肛瘘误诊为单纯性肛瘘;肛周脓肿合并肛瘘22例,误诊为肛周脓肿6例;肛周炎性包块25例;直肠占位性病变4例(直肠癌2例,直肠息肉2例),漏诊1例直肠息肉;肛周术后改变6例;会阴部阴道瘘1例;前庭大腺炎1例;痔3例(混合痔2例,内痔1例)。综合诊断符合率为90.9%(170/187)。结论经直肠联合体表超声检查经济便利、可行性好、准确性高,适合临床开展应用。
Objective To investigate the diagnostic value of transrectal combined surface ultrasonography in perianal diseases. Methods Totally 191 patients with various types of perianal diseases underwent transoral combined endoscopic ultrasonography. All the results of ultrasound examination were compared with the results of surgery or clinical follow-up. Results 191 patients, 4 patients due to pain did not complete the examination, the remaining patients with satisfactory results. Perianal abscess in 54 cases (low 48 cases, high in 6 cases); anal fistula in 71 cases (63 cases of simple, complex in 8 cases); misdiagnosis of simple anal fistula in 8 cases, 2 cases of complicated anal fistula misdiagnosed as simple anal fistula; perianal abscess A total of 22 cases of anal fistula were misdiagnosed as 6 cases of perianal abscess, 25 cases of perianal inflammatory mass, 4 cases of rectal space-occupying lesions (2 cases of rectal cancer and 2 cases of rectal polyps), 1 case of rectal polyp missed, After the change in 6 cases; perineal vaginal fistula in 1 case; 1 case of bartholinitis; hemorrhoids in 3 cases (mixed hemorrhoids in 2 cases, 1 case of hemorrhoids). The coincidence rate of comprehensive diagnosis was 90.9% (170/187). Conclusion The transrectal combined body surface ultrasonography has the advantages of economy, convenience, accuracy and suitability for clinical application.