短轴追踪扫查法在肛瘘经体表超声检查中的诊断价值

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Abstract Objective To explore the diagnostic value of short axis tracking scanning in perianal ultrasonography for anal fistula.Methods The data of 617 patients with anal fistula who underwent perianal ultrasound examination in Hainan Hospital of Chinese PLA General Hospital were retrospectively analyzed. The diagnostic accuracy of long-axis and short-axis tracking scanning on the internal opening, primary fistula and branch fistula of anal fistula were compared among the patients who completed long-axis and short-axis tracking scanning.Results A total of 75 patients were enrolled, including 33 cases with conventional ultrasonography (CUS) combined with contrast-enhanced ultrasonography (CEUS). In CUS, the diagnostic accuracy of short-axis tracking was higher than that of long-axis tracking, with statistically significant difference (77.33% vs 34.67%, P<0.05). In the diagnostic accuracy of primary fistula and secondary fistula, there was no significant difference between long axis and short axis scanning (primary fistula 86.67% vs 85.33%; branch fistula 44.12% vs 38.24%). In CUS combined with CEUS, the diagnostic accuracy of the internal opening through short axis scanning was higher than that of long axis scanning, with statistically significant difference (90.91% vs 66.67%, P<0.05). In the diagnostic accuracy of primary fistula and branch fistula, there was no significant difference between long axis and short axis scanning (primary fistula 87.88% vs 93.94%; branch fistula 71.43% vs 66.67%).Conclusions Short axis tracking scanning is helpful to improve the accuracy of ultrasonic diagnosis of anal fistula.

Key words： ultrasonography anal fistula diagnosis contrast-enhanced ultrasound

Received: 12 March 2022

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	Articles by authors
	CHEN Mei
	REN Xiuyun
	HE Xining
	ZHAO Yuanyuan
	WU Shengzheng

Cite this article:

CHEN Mei,REN Xiuyun,HE Xining等. Diagnostic value of short axis tracking scanning in perianal ultrasonography of anal fistula[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(9): 778-782.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I9/778

[1]	Varsamis N, Kosmidis C, Chatzimavroudis G,et al. perianal fistulas: a review with emphasis on preoperative imaging[J]. Adv Med Sci, 2022, 67(1): 114-122.
[2]	吴盛正,吕发勤,闻巍,等.经瘘管超声造影在复杂性肛瘘术前诊断中的应用价值[J/CD].中华医学超声杂志 (电子版),2018,15(7):511-515.
[3]	Amato A, Bottini C, Nardi P D,et al. Evaluation and management of perianal abscess and anal fistula: SICCR position statemen[J]. Tech Coloproctol, 2020, 24(2):127-143.
[4]	邱荣华,杜哲明,付强.MR T_2WI成像对肛瘘56例分型诊断的价值[J].武警医学,2020,31(1):59-61.
[5]	王业皇,吴燕兰.复杂性肛瘘手术治疗的难点[J].临床外科杂志,2018,26(4):253-255.
[6]	Garg P, Sodhi S S, Garg N. Management of complex cryptoglandular anal fistula: challenges and solutions[J]. Clin Exp Gastroenterol, 2020, (13): 555-567.
[7]	Ratto C, Grossi U, Litta F,et al. Contemporary surgical practice in the management of anal fistula: results from an international survey[J]. Tech Coloproctol, 2019, 23(8):729–741.
[8]	Mei Z, Li Y, Wang Q,et al. Risk factors for postoperative recurrence of anal fistula identified by an international, evidence-based delphi consultation survey of surgical specialists[J]. Int J Surg, 2021, 92: 106038.
[9]	Vogel J D, Johnson E K, Morris A M,et al.Clinical practice guideline for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula[J]. Dis Colon Rectum, 2016, 59(12): 1117-1133.
[10]	娄颍博,金伟森.多次发作肛瘘三种术式疗效比较[J].武警医学,2016,27(6):606-608.
[11]	中国医师协会肛肠医师分会临床指南工作委员会.肛瘘诊治中国专家共识(2020版)[J].中华胃肠外科杂志,2020,23(12):1123-1130.
[12]	Li J, Chen S N, Lin Y Y,et al. Diagnostic accuracy of three-dimensional endoanal ultrasound for anal fistula: a systematic review and meta-analysis[J]. Turk J Gastroenterol, 2021, 32(11): 913-922.
[13]	Sun Y, Cui L G, Liu J B,et al. Utility of 360° Real-time endoanal sonography for evaluation of perianal fistulas[J]. J Ultrasound Med, 2018, 37(1): 93-98.
[14]	闫有青,张翠红,刘翠翠,等.高频探头联合端扫式凸阵腔内探头经会阴超声诊断肛瘘[J].中国医学影像技术,2020,36(4):80-83.
[15]	Brillantino A, Iacobellis F, Reginelli A,et al. Three-dimensional endoanal ultrasound should be considered as first-line diagnostic tool in the preoperative work-up for perianal fistulas[J]. La Radiologia Medica, 2020, 125(7): 695-696.
[16]	Nam K, Jeon Y, Yoon S,et al. Ultrasound-guided radial artery cannulation using dynamic needle tip positioning versus conventional long-axis in-plane techniques in cardiac surgery patients: a randomized, controlled trial[J]. Minerva Anestesiol, 2020, 86(1): 30-37.
[17]	韩运洋,秦再生,石能贤,等.超声引导下中心静脉穿刺中短轴法与长轴法的应用比较:更新的系统评价与meta分析[J].南方医科大学学报,2020,40(3):308-315.
[18]	殷骅,胡晶晶,盛常睿,等.双重超声造影在肛瘘诊断中的应用价值[J].中华医学超声杂志(电子版),2020,17(10):958-964.
[19]	Lin T, Ye Z, Hu J,et al. A comparison of trans-fistula contrast-enhanced endoanal ultrasound and MRI in the diagnosis of anal fistula[J]. Ann Palliat Med, 2021, 10(8): 9165-9173.