摘要
目的探讨CT瘘管造影在复杂性肛瘘中的临床应用价值。方法对41例复杂性多分支肛瘘患者均进行CT瘘管造影和X线造影检查,其中,CT图像进行三维表面重建(3D-SSD)处理。结合术中所见以及术后随访,比较两种造影方法的临床实用价值。结果CT瘘管造影及其后处理影像可以清晰显示复杂肛瘘瘘管的分支系统。在其指导下行肛瘘根治术的患者,经过至少1年随访,治愈率100%。结论CT瘘管造影结合三维重建技术可以指导复杂性肛瘘的临床手术治疗,是提高手术治愈率的重要诊断方法,值得进一步推广。
Objective To investigate the elinieal applieation of spiral CT fistulography in diagnosing complicated multi-anal fistula. Methods Spiral CT fistulography and x-ray visualization were examinated in 41 eases patients with eomplieated multi-anal fistula. The CT image postproeessing sueh as 3D SSD was performed. The finding in operation and follow-up was used to eompare the elinieal value of the two technique. Results Spiral CT fistulagraphy with three-dimensional postproeessing techniques ean elearly show the origin and branehes of eomplieated multi-anal fistula in all eases. Aeeording to the CT fistulagraphy, we aetualize set on division of anal fistulotomy to all the patients. The rate of cure was 100% after following-up for more than one year. Conclusion Spiral CT fistulography with 3D postproeessing ean direet elinieal operation of complicated multi-anal fistula. It is an important method to improve cure rate and deserved to be popularized.
出处
《医学综述》
2008年第14期2232-2234,共3页
Medical Recapitulate
