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首页> 外文期刊>Revista Espaola de Enfermedades Digestivas >Use of anorectal ultrasounds in perianal Crohn's disease: consistency with clinical data
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Use of anorectal ultrasounds in perianal Crohn's disease: consistency with clinical data

机译：肛肠超声在肛周克罗恩病中的应用：与临床数据一致

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Background: anorectal ultrasonography (ARU) is a simple technique, and its diagnostic value for anorectal diseases either in conventional subjects or in patients with Crohn's disease (CD) is insufficiently reported. The objective of this study is to evaluate the use of ARU, its consistency with clinical orientation, and its ability to provide relevant information for patients with bowel CD and perianal involvement. Methods: thirty ARUs were performed for 24 patients (17 male, mean age 35,7 years; range 19-59 years) with diagnosed CD (bowel and anorectal involvement). The reason to perform an ARU was to evaluate an anal fistula (15 patients, 50%), potential abscesses (9 patients, 30%), and fecal incontinence (2 patients, 6,6%), and for post-treatment monitoring purposes (4 patients, 13,3%). Results: diagnostic orientation coincided for 14 patients (46,6%). An abscess was found in eight patients (26,6%), and five patients were clinically suspicious. The abscess was postanal in 3 patients. Fistulas were found in 17 patients (56,6%), and 15 patients were clinically suspicious. Transsphincterian fistulas were observed in seven patients, and abscesses were associated with fistula in six patients. Transsphincteric defects were observed in 10 patients (four internal sphincters, one external sphincter, and five both) but only two patients suffered from incontinence. ARU provided data relevant to therapeutic approach in 19 patients (63,3%). Conclusions: ARU has provided very important data for the diagnosis and treatment of anorectal diseases. Based on this technique clinical decisions can be improved, which in some instances may prove critical.
机译：背景：肛肠超声检查（ARU）是一种简单的技术，对于常规受试者或克罗恩病（CD）患者的肛肠疾病的诊断价值还不够充分。这项研究的目的是评估ARU的使用，其与临床方向的一致性以及其为肠CD和肛周受累患者提供相关信息的能力。方法：对24例诊断为CD（肠和肛门直肠受累）的患者（17名男性，平均年龄35.7岁;范围19-59岁）进行了30次ARU。进行ARU的原因是评估肛门瘘（15例，50％），潜在脓肿（9例，30％）和大便失禁（2例，6.6％），并用于治疗后监测（4例，13.3％）。结果：14例患者的诊断方向符合要求（46.6％）。在八名患者（26.6％）中发现脓肿，其中五名患者在临床上可疑。肛门脓肿3例。在17例患者中发现了瘘管（56.6％），在临床上有15例患者可疑。七名患者观察到括约肌瘘，六名患者与脓肿相关。在10例患者中发现了括约肌缺陷（4个内部括约肌，1个外部括约肌和5个两者），但只有2例患有失禁。 ARU在19例患者中提供了与治疗方法相关的数据（63.3％）。结论：ARU为肛肠疾病的诊断和治疗提供了非常重要的数据。基于此技术，可以改善临床决策，在某些情况下这可能很关键。

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