摘要
目的探讨Morris肛瘘分级法在肛瘘腔内超声诊断中的应用。方法回顾性分析73例经手术证实的肛瘘瘘管、内口及伴随脓肿的腔内超声表现,用Morris分级法进行分级。结果原发性肛瘘72例,复发性肛瘘1例,其中1级30例,超声漏诊瘘管与内口2例;2级21例,超声同时漏诊瘘管与内口1例,单纯漏诊内口6例;3级9例,4级12例,超声无漏诊;5级1例,内口漏诊。超声诊断瘘管总正确率为95.89%,内口总正确率为86.30%。结论可以应用Morris分级法进行腔内超声肛瘘分级,便于临床交流、决定手术方法。
Objective To investigate the Morris anal fistula classification method in the diagnosis of endoanal ultrasound.Methods From June 2013 to April 2014, 73 patients conifrmed with ifndings from the operation were managed with endoanal ultrasound. All patients were classed based-on ultrasound, including the appearances of ifstula track, internal opening, and abscess companied.Results In 73 patients with 72 primary ifstulas and 1 recurrent ifstula, ratio of grade 1 was 41.10%, ratio of grade 2 was 28.77%, ratio of grade 3 was 12.33%, ratio of grade 4 was 16.44%, ratio of grade 5 was 1.30%. Seven cases of internal opening were missed in grade 2 and 5, and three cases of ifstula tract together with internal opening were missed in grade 1 and 2.Conclusion The Morris classiifcation of ifstula can be applied in the examination with endoanal ultrasound, it is good for doctors to communicate, giving help for the design of surgery.
出处
《中国医药指南》
2015年第3期16-17,共2页
Guide of China Medicine
