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目的探讨超声在肛周感染性疾病的诊断和治疗中的价值,为疾病的早期诊断与治疗提供依据。方法选择2012年3月-2013年2月医院收治的肛周感染性疾病患者64例,所有患者手术前均接受超声检查,将超声诊断与术中所见进行对比分析,评价超声在肛周感染性疾病诊断和治疗中的价值。结果 64例患者均经手术确诊,其中单纯性肛周脓肿最多,共34例占53.12%;超声对肛周感染性疾病的诊断符合率为92.19%,其中单纯性肛周脓肿为94.12%、复合型肛周脓肿为78.57%、肛瘘为100.00%;肛周脓肿患者肛周软组织表现为回声增强,可见一形态不一、大小不等的包块,包块表现为低回声或无回声,包块周边可见少许血流信号;肛瘘患者瘘道表现为管状低回声区,腔内可见液性暗区或不均质回声区,未见明显血流信号。结论超声对肛周感染性疾病诊断符合率高,能够对肛周感染性疾病做出准确的分型,且能够提供脓肿大小和范围等信息,为临床治疗提供帮助,具有现实的临床意义。
Objective To explore the value of ultrasound in the diagnosis and treatment of perianal infectious diseases and provide evidence for the early diagnosis and treatment of the disease. Methods Sixty-four patients with perianal infectious diseases admitted to the hospital from March 2012 to February 2013 were selected. All patients underwent surgery before surgery. Ultrasound was compared with that seen in the surgery and the perianal infection The value of diagnosis and treatment of sexually transmitted diseases. Results Sixty-four patients were diagnosed by operation, of which 34 cases were simple perianal abscess, accounting for 53.12%. The coincidence rate of ultrasound diagnosis of perianal infectious disease was 92.19%, including simple perianal abscess 94.12% Perianal abscess was 78.57% and anal fistula was 100.00%. The perianal soft tissue in patients with perianal abscess showed enhanced echogenicity, showing a different shape and size of the mass, the mass showed low echo or no echo, mass Peripheral blood flow can be seen a little signal; fistula fistula showed tubular hypoechoic area, the lumen can be seen within the liquid dark or heterogeneous echo area, no significant blood flow signal. Conclusion Ultrasound diagnosis of perianal infectious diseases in line with the high rate of perianal infectious diseases can make an accurate classification, and can provide information on the size and extent of abscess, to provide clinical help for clinical treatment, with realistic clinical significance.