MRI在肛瘘中的诊断价值及各型特点分析

The Diagnostic Value of MRI in Anal Fistula and Analysis of its Various Characteristics

目的分析MRI在肛瘘中的诊断价值及各型特点分析。方法选择我院2018年1月至2019年12月收治的60例肛瘘患者为研究对象,对患者的临床诊治资料进行回顾和分析,所有患者均行MRI扫描,以手术探查结果为标准,评判MRI扫描的价值和意义。结果观察检查结果差异:手术诊断出原发瘘管72个、肛周脓肿49个、内口70个、外口68个,MRI扫描结果和手术探查结果不存在差异,MRI灵敏度较高。结论MRI在肛瘘患者的临床诊断中价值突出,可以有效分辨出患者肛瘘分支管形态、走行、数量、有无合并脓肿、瘘管与肛门括约肌及周围组织的关系等情况,灵敏度较高,准确性较高,能为后续手术准备和方案制定提供详细、准确的影像学解剖信息,属于无创性检查方式,安全性较高,值得推广。

Objective To analyze the diagnostic value of MRI in anal fistula and analyze the characteristics of each type.Methods Sixty cases of anal fistula patients in our hospital from January 2018 to December 2019 were selected as the research objects,and the clinical diagnosis and treatment data of the patients were reviewed and analyzed.All patients underwent MRI scanning,and the value and significance of MRI scanning were evaluated based on the surgical exploration results.Results Observation and examination results:72 primary fistulas,49 perianal abscesses,70 internal orifices and 68 external orifices were diagnosed during the operation,there is no difference between MRI scan results and surgical exploration results,and MRI sensitivity is high.Conclusion MRI is of great value in the clinical diagnosis of patients with anal fistula,which can effectively distinguish the shape,route,number,presence or absence of abscess,the relationship between fistula and anal sphincter and surrounding tissues.It is a non-invasive examination method with high sensitivity and high accuracy,which is worthy of promotion.