杨翱

【摘 要】目的  探究磁共振成像（MRI）技术诊断复杂性肛瘘价值。方法  回顾性分析我院2019年4月～2020年4月收治的69例复杂性肛瘘患者临床资料，患者资料完整，均手术治疗，并进行手术病理分析，对比患者MRI诊断结果与手术结果。结果  69例复杂性肛瘘患者手术病理显示存在131个瘘管，肛周脓肿20个，瘘口150个，而MRI诊断69例复杂性肛瘘患者显示存在131个瘘管，肛周脓肿20个，瘘口144个，检出率分别为100.00%、100.00%、96.00%，p>0.05，数据差异不存在统计学意义。结论  MRI技术诊断复杂性肛瘘价值极高，检出率高，可为复杂性肛瘘提供诊断依据，值得推广与应用。

【关键词】复杂性肛瘘;手术病理;MRI;检出率;诊断依据

Abstract Purpose  To explore the value of magnetic resonance imaging （MRI） in the diagnosis of recurrent anal fistula.Methods  The clinical data of 69 patients with complex anal fistula admitted to our hospital from April 2019 to April 2020 were retrospectively analyzed. The data of the patients were complete and all of them underwent surgical treatment.Results  There were 131 fistulas， 20 perianal abscesses and 150 fistulas in 69 patients with recurrent anal fistula， and 131 fistulas， 20 perianal abscesses and 144 fistulas in 69 patients with recurrent anal fistula diagnosed by MRI. The detection rates were 100.00%， 100.00% and 96.00%， respectively， and p > was 0.05. The data difference was not statistically significant.    Conclusion  MRI technique is of high value in the diagnosis of recurrent anal fistula， with a high detection rate， which can provide a diagnostic basis for recurrent anal fistula， and is worth promoting and applying.

Key words Complex anal fistula; Surgical pathology; Magnetic resonance imaging （MRI）; Detection rate. Diagnostic basis

復杂性肛瘘是肛肠科较为常见疾病，是指2个或者2个以上内口或者外口，存在2条以上瘘管或者盲管、支管的肛瘘。复杂性肛瘘发病原因包括肛瘘或者肿瘤反复感觉、手术操作不当导致肛瘘复杂化、其他有关疾病因素等，临床表现为流脓、肿痛、瘙痒、全身症状等，危害患者健康，给患者造成不良影响，患者生活质量显著下降[1]。复杂性肛瘘发病原因复杂，且发病形式多样，故而该病治疗难度大，十分棘手，引起临床重视。复杂性肛瘘多采取手术治疗，具有较好临床治疗效果，深受医患好评[2]。早期诊断、早期手术对复杂性肛瘘患者预后具有较大影响，故而临床十分重视患者的诊断问题[3]。目前临床诊断复杂性肛瘘多采取视诊、触诊以及肛门镜检查、染色检查、磁共振成像检查等，目前临床检查该病多根据患者临床症状并结合MRI进行诊断，确诊率极高，临床应用广泛[4]。为了……