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目的探讨经直肠双平面彩色多普勒超声诊断肛周脓肿的应用效果。方法选取2013年9月—2015年3月我院收治的肛周脓肿并经手术病理确诊的62例患者作为研究对象,采用双平面彩色多普勒超声经直肠诊断,同时行腹部超声,对比两种检查方法的诊断情况,并将经直肠超声诊断分型与术后病理结果进行比较。结果 62例患者经直肠超声检出61例,漏检1例,准确率为98.4%(61/62);经腹部超声检出53例,漏检9例,准确率为85.5%(56/62),组间比较差异有统计学意义(P<0.05)。结论经直肠双平面彩色多普勒超声有助于鉴别肛周脓肿病理分型,准确率高,值得在临床上推广应用。
Objective To investigate the application of transrectal bi-plane color Doppler ultrasound in the diagnosis of perianal abscess. Methods Sixty-two patients with perianal abscess treated in our hospital from September 2013 to March 2015 were retrospectively analyzed by double-plane color Doppler ultrasonography and abdominal ultrasound. Kinds of inspection methods of diagnosis, and transrectal ultrasound diagnosis and postoperative pathological results were compared. Results Sixty-one patients were diagnosed by rectal ultrasonography in 61 cases and one case was missed, the accuracy rate was 98.4% (61/62). 53 cases were detected by abdominal ultrasonography and 9 cases were missed by the ultrasound, the accuracy rate was 85.5% (56/62 ), The difference between the groups was statistically significant (P <0.05). Conclusions Transrectal bi-plane color Doppler ultrasonography is helpful to identify the pathological type of perianal abscess with high accuracy, which is worth popularizing in clinic.