3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease.
3D-EAUS and MRI in the Activity of Anal Fistulas in Crohn's Disease.
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DOI：
10.1155/2016/1895694
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发表时间：
2016
影响因子：
2
通讯作者：
Reginelli A
中科院分区：
文献类型：
--
作者：
Alabiso ME;Iasiello F;Pellino G;Iacomino A;Roberto L;Pinto A;Riegler G;Selvaggi F;Reginelli A
目的。本研究旨在评估 3D 肛门内超声 (3D-EAUS) 和磁共振成像 (MRI) 在术前评估肛周瘘管的原发管道和内部开口、继发性延伸和脓肿的作用。方法。 2014年，51名疑似肛周瘘的克罗恩病患者入组。所有患者均接受了两种方法的身体检查和随后的手术。结果。在CD肛周瘘的评估中，3D-EAUS和MRI在脓肿和继发性扩展的识别上没有显着差异。考虑到位置，3D-EAUS 在检测括约肌间瘘方面比 MRI 更准确（p 值 = 10−6）；相反，MRI 在检测括约肌上瘘（p 值 = 0.0327）和括约肌外瘘（p 值 = 4 ⊕ 10−6）方面比 3D-EAUS 更准确； MRI 和 3D-EAUS 在检出经括约肌瘘方面没有显着差异。结论。 3D-EAUS 和 MRI 在 CD 肛周瘘的评估和检测中都具有至关重要的作用。在检测括约肌间瘘方面，3D-EAUS 优于 MRI；相反，在评估括约肌上和括约肌外瘘时，MRI 优于 3D-EAUS。
Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn's disease patients suspected for perianal fistula were enrolled. All patients underwent physical examination with both the methods and subsequent surgery. Results. In the evaluation of CD perianal fistulas, there are no significant differences between 3D-EAUS and MRI in the identification of abscess and secondary extension. Considering the location, 3D-EAUS was more accurate than MRI in the detection of intersphincteric fistulas (p value = 10−6); conversely, MRI was more accurate than 3D-EAUS in the detection of suprasphincteric fistulas (p value = 0.0327) and extrasphincteric fistulas (p value = 4 ⊕ 10−6); there was no significant difference between MRI and 3D-EAUS in the detection of transsphincteric fistulas. Conclusions. Both 3D-EAUS and MRI have a crucial role in the evaluation and detection of CD perianal fistulas. 3D-EAUS was preferable to MRI in the detection of intersphincteric fistulas; conversely, in the evaluation of suprasphincteric and extrasphincteric fistulas the MRI was preferable to 3D-EAUS.