肛瘘及肛周脓肿的超声诊断现状_West China Medical Journal

Authors：

李梅 ¹ , 冯萍 ¹ , 牟桔红 ¹ , 袁佳英 ² ,  李永忠 ³

Corresponding author：

李永忠, Email: fly117@126.com

Keywords：

肛瘘; 超声; 诊断

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【摘要】　肛瘘及肛周脓肿是肛肠外科较常见疾病，其手术治疗对医生迄今仍是一个挑战，因为医生既希望手术根治疾病，防止复发，又要避免手术损伤引起大便失禁，因此术前准确定位至关重要。现代超声技术能准确定位肛瘘的内口、主管、支管、脓腔，能较为准确地显示瘘管与周围组织的关系，为医生制定个体化的手术方案提供帮助。现根据国内外发表的相关文献综述超声检查对肛瘘及肛周脓肿的诊断，以期对临床工作起到一定的指导作用。

Citation： 李梅,冯萍,牟桔红,袁佳英,李永忠. 肛瘘及肛周脓肿的超声诊断现状. West China Medical Journal, 2011, 26(11): 1744-1746. doi: Copy

1.	Kim Y, Park YJ. Three-dimensional endoanal ultrasonographic assessment of an anal fistula with and without H2O2 enhancement[J]. World J Gastroenterol, 2009, 15(38): 4810-4815.
2.	蔡燕娥, 金宏江, 范广民, 等. 经体表高频超声在肛周脓肿和肛瘘诊断中的应用[J]. 中国医学计算机成像杂志, 2009(15): 558-560.
3.	张国平, 骈林萍, 李超. 经直肠超声和高频超声联合应用诊断直肠周围脓肿合并肛瘘的价值[J]. 医药论坛杂志, 2010, (14): 158-159.
4.	张晓蓉, 陈真, 彭勃. 高频线阵及经直肠腔内超声对肛瘘及肛周脓肿的诊断价值[J]. 中国医学影像技术, 2008, 24(7): 1086-1089.
5.	银浩强, 彭欣, 肖沪生, 等. 经直肠超声诊断肛瘘的价值[J]. 上海医学影像, 2007, 16(2): 149-153.
6.	Toyonaga T, Tanaka Y, Song JF, et al. Comparison of accuracy of physical examination and endoanal ultrasonography for preoperative assessment in patients with acute and chronic anal fistula[J]. Techniq Coloproctol, 2008, 12(3): 217-223.
7.	Pomerri F, Dodi G, Pintacuda G. Anal endosonography and fistulography for fistula-in-ano[J]. Radiologia Medica, 2010, 115(5): 771-783.
8.	Buchanan GN, Halligan S, Bartram CI, et al. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard[J]. Radiology, 2004, 233(3): 674-681.
9.	Kleinubing H Jr, Jannini JF, Campos AC, et al. The role of transperineal ultrasonography in the assessment of the internal opening of cryptogenic anal fistula[J]. Techniq Coloproctol, 2007, 11(4): 327-331.
10.	Domkundwar SV, Shinagare AB. Role of transcutaneous perianal ultrasonography in evaluation of fistulas in ano[J]. Journal of Ultrasound Med, 2007, 26(1): 29-36.
11.	Weisman N, Abbas MA. Prognostic value of endoanal ultrasound for fistula-in-ano: a retrospective analysis[J]. Dis Colon Rectum, 2008, 51(7): 1089-1092.
12.	Sudol-Szopinska I, Kolodziejczak M, Szopinski TR. The accuracy of a postprocessing technique-volume render mode-in three-dimensional endoanal ultrasonography of anal abscesses and fistulas[J]. Dis Colon Rectum, 2011, 54(2): 238-244.
13.	Buchanan GN, Bartram CI, Williams AB, et al. Value of hydrogen peroxide enhancement of three-dimensional endoanal ultrasound in fistula-in-ano[J]. Dis Colon Rectum, 2005, 48(1): 141-147.
14.	West RL, Dwarkasing S, Felt-Bersma RJ, et al. Hydrogen peroxide-enhanced three-dimensional endoanal ultrasonography and endoanal magnetic resonance imaging in evaluating perianal fistulas: agreement and patient preference[J]. Eur J Gastroenterol Hepatol, 2004, 16(12): 1319-1324.
15.	徐道明, 李升明. 经肛管腔内超声过氧化氢增强造影诊断肛瘘的价值[J]. 中国超声医学杂志, 2001, 17(9): 705-707.
16.	Sudol-Szopinska I, Szczepkowski M, Panorska AK, et al. Comparison of contrast-enhanced with non-contrast endosonography in the diagnostics of anal fistulas[J]. Eur Radiol, 2004, 14(12): 2236-2241.
17.	Pascual Miguelanez I, Garcia-Olmo D, Martinez-Puente MC, et al. Is routine endoanal ultrasound useful in anal fistulas?[J]. Revista Espanola de Enfermedades Digestivas, 2005, 97(5): 323-327.
18.	Zbar AP, Oyetunji RO, Gill R. Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study[J]. Techniq Coloproctol, 2006, 10(4): 297-302.

1. 　Kim Y, Park YJ. Three-dimensional endoanal ultrasonographic assessment of an anal fistula with and without H2O2 enhancement[J]. World J Gastroenterol, 2009, 15(38): 4810-4815.
2. 　蔡燕娥, 金宏江, 范广民, 等. 经体表高频超声在肛周脓肿和肛瘘诊断中的应用[J]. 中国医学计算机成像杂志, 2009(15): 558-560.
3. 　张国平, 骈林萍, 李超. 经直肠超声和高频超声联合应用诊断直肠周围脓肿合并肛瘘的价值[J]. 医药论坛杂志, 2010, (14): 158-159.
4. 　张晓蓉, 陈真, 彭勃. 高频线阵及经直肠腔内超声对肛瘘及肛周脓肿的诊断价值[J]. 中国医学影像技术, 2008, 24(7): 1086-1089.
5. 　银浩强, 彭欣, 肖沪生, 等. 经直肠超声诊断肛瘘的价值[J]. 上海医学影像, 2007, 16(2): 149-153.
6. 　Toyonaga T, Tanaka Y, Song JF, et al. Comparison of accuracy of physical examination and endoanal ultrasonography for preoperative assessment in patients with acute and chronic anal fistula[J]. Techniq Coloproctol, 2008, 12(3): 217-223.
7. 　Pomerri F, Dodi G, Pintacuda G. Anal endosonography and fistulography for fistula-in-ano[J]. Radiologia Medica, 2010, 115(5): 771-783.
8. 　Buchanan GN, Halligan S, Bartram CI, et al. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard[J]. Radiology, 2004, 233(3): 674-681.
9. 　Kleinubing H Jr, Jannini JF, Campos AC, et al. The role of transperineal ultrasonography in the assessment of the internal opening of cryptogenic anal fistula[J]. Techniq Coloproctol, 2007, 11(4): 327-331.
10. 　Domkundwar SV, Shinagare AB. Role of transcutaneous perianal ultrasonography in evaluation of fistulas in ano[J]. Journal of Ultrasound Med, 2007, 26(1): 29-36.
11. 　Weisman N, Abbas MA. Prognostic value of endoanal ultrasound for fistula-in-ano: a retrospective analysis[J]. Dis Colon Rectum, 2008, 51(7): 1089-1092.
12. 　Sudol-Szopinska I, Kolodziejczak M, Szopinski TR. The accuracy of a postprocessing technique-volume render mode-in three-dimensional endoanal ultrasonography of anal abscesses and fistulas[J]. Dis Colon Rectum, 2011, 54(2): 238-244.
13. 　Buchanan GN, Bartram CI, Williams AB, et al. Value of hydrogen peroxide enhancement of three-dimensional endoanal ultrasound in fistula-in-ano[J]. Dis Colon Rectum, 2005, 48(1): 141-147.
14. 　West RL, Dwarkasing S, Felt-Bersma RJ, et al. Hydrogen peroxide-enhanced three-dimensional endoanal ultrasonography and endoanal magnetic resonance imaging in evaluating perianal fistulas: agreement and patient preference[J]. Eur J Gastroenterol Hepatol, 2004, 16(12): 1319-1324.
15. 　徐道明, 李升明. 经肛管腔内超声过氧化氢增强造影诊断肛瘘的价值[J]. 中国超声医学杂志, 2001, 17(9): 705-707.
16. 　Sudol-Szopinska I, Szczepkowski M, Panorska AK, et al. Comparison of contrast-enhanced with non-contrast endosonography in the diagnostics of anal fistulas[J]. Eur Radiol, 2004, 14(12): 2236-2241.
17. 　Pascual Miguelanez I, Garcia-Olmo D, Martinez-Puente MC, et al. Is routine endoanal ultrasound useful in anal fistulas?[J]. Revista Espanola de Enfermedades Digestivas, 2005, 97(5): 323-327.
18. 　Zbar AP, Oyetunji RO, Gill R. Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study[J]. Techniq Coloproctol, 2006, 10(4): 297-302.

West China Medical Journal

肛瘘及肛周脓肿的超声诊断现状

Abstract Full text Figures/Tables Video References Cited by

Format

Content