[1]郭文涛,郭航勇.术前MRI联合过氧化氢造影增强应用于复杂性肛瘘手术的临床研究[J].医学信息,2021,34(02):125-126.[doi:10.3969/j.issn.1006-1959.2021.02.033]
　GUO Wen-tao,GUO Hang-yong.The Clinical Study of Preoperative MRI Combined with Contrast-enhanced Hydrogen Peroxide for Complex Anal Fistula Surgery[J].Medical Information,2021,34(02):125-126.[doi:10.3969/j.issn.1006-1959.2021.02.033]
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术前MRI联合过氧化氢造影增强应用于复杂性肛瘘手术的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年02期
页码:
125-126
栏目:
临床研究
出版日期:
2021-01-15

文章信息/Info

Title:
The Clinical Study of Preoperative MRI Combined with Contrast-enhanced Hydrogen Peroxide for Complex Anal Fistula Surgery
文章编号:
1006-1959（2021）02-0125-02
作者:
郭文涛; 郭航勇
（深圳市中医肛肠医院＜福田＞肛肠科，广东 深圳 518031）
Author(s):
GUO Wen-tao; GUO Hang-yong
(Anorectal Department,Shenzhen TCM Anorectal Hospital,Shenzhen 518031,Guangdong,China)
关键词:
复杂性肛瘘; MRI联合过氧化氢造影增强; 亚甲蓝染色
Keywords:
Complex anal fistula; MRI combined with hydrogen peroxide contrast enhancement; Methylene blue staining
分类号:
R65
DOI:
10.3969/j.issn.1006-1959.2021.02.033
文献标志码:
A
摘要:
目的 探讨术前MRI联合过氧化氢造影增强对指导复杂性肛瘘手术的应用价值。方法 选取2017年8月~2019年6月在我院诊断复杂性肛瘘，需行手术治疗的患者作为研究对象，按随机数字表法随机分为观察组和对照组，每组90例。观察组为术前MRI联合过氧化氢造影增强确定内口、瘘管，对照组以亚甲蓝染色确定内口、瘘管。比较两组患者术前检查和术中诊断肛瘘内口、主瘘管、支管的符合率、术后治愈率和复发率。结果 观察组在内口、主瘘管、支管的检出率分别为97.78%、100.00%、86.67%，优于对照组的51.11%、76.67%、14.44%；观察组治愈率为97.78%，优于对照组86.67%，观察组复发率为1.11%，小于对照组8.89%，差异有统计学意义（P＜0.05）。结论 术前MRI联合过氧化氢造影增强应用于复杂性肛瘘对手术的指导作用优于传统亚甲蓝染色，有助于提高治愈率，减少复发。
Abstract:
Objective To explore the application value of preoperative MRI combined with hydrogen peroxide contrast enhancement in guiding complex anal fistula surgery.Methods Selected patients who were diagnosed with complex anal fistula in our hospital from August 2017 to June 2019 and required surgical treatment as the research objects. According to the random number table method, they were randomly divided into observation group and control group, with 90 cases in each group. In the observation group, the internal ostium and fistula were determined by preoperative MRI combined with hydrogen peroxide contrast enhancement, and the internal ostium and fistula were determined by methylene blue staining in the control group. The preoperative examination and intraoperative diagnosis of anal fistula, main fistula, branch tube coincidence rate, postoperative cure rate and recurrence rate were compared between the two groups.Results The detection rates of the internal opening, main fistula, and branch in the observation group were 97.78%, 100.00%, and 86.67%, respectively, which were better than those of the control group by 51.11%, 76.67%, and 14.44%;The cure rate in the observation group was 97.78%, which was better than 86.67% in the control group, and the recurrence rate in the observation group was 1.11%, which was less than 8.89% in the control group,the difference was statistically significant (P<0.05).Conclusion Preoperative MRI combined with hydrogen peroxide contrast enhancement is better than traditional methylene blue staining in guiding the operation of complex anal fistula, which helps to improve the cure rate and reduce recurrence.

参考文献/References:

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更新日期/Last Update: 1900-01-01