经会阴高频超声联合经直肠腔内超声在肛肠疾病诊断中的应用探讨

目的 探讨经会阴高频超声联合经直肠腔内超声在诊断肛肠疾病中的应用价值.方法对54例肛肠疾病患者(22例肛瘘,14例肛周脓肿,12例直肠癌,6例肛门直肠周围间隙感染)行经会阴高频超声和,或经直肠腔内超声检查.并将检查结果与手术所见及病理结果相对照.结果 除4例肛瘘患者未能明确瘘管内口位置,1例直肠癌患者超声未能明确诊断外,其余超声检查结果均与临床诊断相符合.结论 应用经会阴高频超声联合经直肠腔内超声检查,对肛瘘的走行及内口的定位、肛周脓肿的定位、直肠癌的浸润范围及盆腔淋巴结情况有非常高效的临床诊断价值.

Combined application of per perineal high-frequency ultrasound and per rectal endoscopic ultrasound examination in diagnosis of anorectal diseases

Objective To evaluate the diagnostic value of per perineal high -frequency ultrasound and/or per rectal endoscopic ultrasound in anorectal diseases. Methods 54 patients suffered from anorectul diseases, including 22 patients with anal fistula, 14 patients with perianal abscess, 12 patients with rectal cancer, and 6 patients with perianorectal inflammation, were performed with per perineal high-frequency ultrasound and/or per rectal endoscopic ultrasound examination. The diagnostic results were confirmed by clinical diagnosis, including operative and pathological detection. Results Except for the misdiagnosis of 4 cases of orifice location and 1 case of rectal cancer, all the other cases were correctly diagnosed. Conclusion Combined application of per perineal high-frequency ultrasound and per rectal endoscopic ultrasound examination has great practical value for ascertaining the trend and internal orifice location of anal fistula, location of perianul abscess, the infiltration depth of rectal cancer, and lymph node metastases.