지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 51 - 57 (7page)
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초록· 키워드
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Purpose: According to recent studies, magnetic resonance imaging (MRI) assessment of complex fistulas provides a significant benefit compared to fistulography, computed tomography, and ultrasonography. The aim of this study was to describe the accuracy of MRI and the importance of identifying puborectalis muscle involvement on MRI in patients with complex fistula. Methods: All patients who were clinically diagnosed with ‘complex’ or showed multiple fistula tracts underwent fistula MRI. Eligible patients were consecutive patients who underwent fistula MRI between September 2018 and September 2019 at our hospital. Results: A total of 83 patients (74 males, 9 females; 116 tracts) were included in this study. The sensitivity and specificity of MRI in diagnosing fistula tracts were 94.8% and 98.2%, respectively. The sensitivity and specificity in identifying internal opening were 93.9% and 97.3%, respectively. Of the 35 patients with puborectalis muscle involvement in the MRI, 31 images of suprasphincteric-type patients on the Park’s classification were classified. The patients of puborectalis involvement were divided into 2 groups according to the surgical procedure that was performed. There were 12 sphincter-saving procedures and 19 sphincter division procedures performed. Recurrence was seen in 2 patients in the sphincter-saving procedure group, while no case was seen in the sphincter division procedure group. Five complications were found in the sphincter division procedure group, of which 2 reported incontinence. Conclusion: Fistula MRI is a highly accurate examination for evaluating complex fistulas, and the puborectalis muscle involvement findings are very important for diagnosis and treatment.
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참고문헌 (32)
참고문헌 신청
Lunniss PJ / 1992 / Magnetic resonance imaging of anal fistulae / Lancet 340:394~396
Lunniss PJ / 1994 / Magnetic resonance imaging of fistula-in-ano / Dis Colon Rectum 37:708~718
Beckingham IJ / 1996 / Prospective evaluation of dynamic contrast enhanced magnetic resonance imaging in the evaluation of fistula in ano / Br J Surg 83:1396~1398
Halligan S / 1998 / MR imaging of fistula in ano: are endoanal coils the gold standard? / AJR Am J Roentgenol 171:407~412
de Miguel Criado J / 2012 / MR imaging evaluation of perianal fistulas: spectrum of imaging features / Radiographics 32:175~194
Lunniss PJ / 1994 / Magnetic resonance imaging of fistula-in-ano / Dis Colon Rectum 37:708~718
Beckingham IJ / 1996 / Prospective evaluation of dynamic contrast enhanced magnetic resonance imaging in the evaluation of fistula in ano / Br J Surg 83:1396~1398
Halligan S / 1998 / MR imaging of fistula in ano: are endoanal coils the gold standard? / AJR Am J Roentgenol 171:407~412
de Miguel Criado J / 2012 / MR imaging evaluation of perianal fistulas: spectrum of imaging features / Radiographics 32:175~194
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