彩色多普勒超声高频浅表小器官联合腔内探头对肛周脓肿的诊断价值

Diagnostic Value of Color Doppler Ultrasound High Frequency Superficial Small Organ Combined with Intracavitary Probe for Perianal Abscess

目的探析肛周脓肿予以彩色多普勒超声腔内高频探头和浅表小器官探头检查的诊断价值。方法方便选择2016年4月—2017年3月在该院就诊的肛周脓肿患者90例,均经病理检查结果证实,按随机对照法分为对照组(n=46)和观察组(n=44),观察组予以彩色多普勒超声高频浅表小器官与腔内探头联合检查,对照组予以彩超基础专科检查,比较两组检查方式的内口符合情况、主管符合情况、支管符合情况、括约肌关系符合情况。比较两组的肛瘘检出情况、肛周脓肿检出情况。结果观察组的内口符合情况、主管符合情况、支管符合情况、括约肌关系符合情况分别为72.7%、75.0%、77.3%、81.8%显著高于对照组,差异有统计学意义(χ~2=6.81、7.22、8.29、10.08,P<0.05)。观察组的肛瘘检出及肛周脓肿检查情况分别为90.9%、95.5%,与对照组相比,差异有统计学意义(χ~2=8.59、8.03,P<0.05)。结论肛周脓肿予以彩超高频浅表小器官和腔内探头检查,显著提高诊断准确性,为临床治疗提供科学依据,值得临床推广。

Objective This paper tries to analyze the diagnostic value of perianal abscess in color Doppler ultrasound intracavitary high frequency probe and superficial small organ probe. Methods Clinically, 90 patients with perianal abscess who were treated in the hospital from April 2016 to March 2017 were convenient confirmed by pathological examination. They were divided into control group （u=46） and observation group （u=44） according to randomized control method, the observation group was given color Doppler ultrasound high-frequency superficial small organ and intracavitary probe joint examination, the control group was given color ultrasound basic specialist examination, comparing the internal inspection of the two groups of inspection methods, the supervisor＇s compliance, the branch compliance, sphincter relationship in accordance with the situation. The anal fistula detection and the detection of perianal abscess were compared between the two groups. Results The internal compliance of the observation group, the compliance of the supervisor, the compliance of the branch, and the compliance of the sphincter were 72.7%, 75.0%, 77.3%, and 81.8%, respectively, which were significantly higher than the control group. The difference was statistically significant （X^2=6.81, 7.22, 8.29, 10.08, P〈0.05）. The anal fistula detection and perianal abscess examination in the observation group were 90.9% and 95.5%, respectively. Compared with the control group, the difference was statistically significant （X^2=8.59, 8.03, P〈0.05）. Conclusion The perianal abscess is treated with super-high frequency superficial small organ and intracavitary probe, which can significantly improve the diagnostic accuracy and provide scientific basis for clinical treatment. It is worthy of clinical promotion.