Lee Jennifer K, Stein Sharon L
Department of Surgery, University Hospitals, Case Medical Center, Cleveland, Ohio.
Clin Colon Rectal Surg. 2010 Sep;23(3):149-60. doi: 10.1055/s-0030-1262982.
The management of enterocutaneous fistulas continues to be a challenging postoperative complication. Understanding the anatomy of the fistula optimizes its evaluation and management. Diagnostic radiology has always played an important role in this task. The use of plain radiography with contrasted studies and fistulograms is well documented in the earliest investigations of fistulas and they continue to be helpful techniques. The imaging techniques have evolved rapidly over the past 15 years with the introduction of cross-sectional imaging, ultrasound and endoscopy. The purpose of this chapter is to review both the diagnostic and therapeutic roles of fistulograms, small bowel follow-through, computed tomography, magnetic resonance imaging, ultrasound, and endoscopy in the setting of acquired enterocutaneous fistulas.
肠皮肤瘘的管理仍然是一种具有挑战性的术后并发症。了解瘘管的解剖结构可优化其评估和管理。诊断放射学在这项任务中一直发挥着重要作用。在瘘管的早期研究中，使用普通X线摄影结合对比研究和瘘管造影已得到充分记录，并且它们仍然是有用的技术。在过去15年中，随着断层成像、超声和内窥镜检查的引入，成像技术迅速发展。本章的目的是回顾瘘管造影、小肠钡剂通过检查、计算机断层扫描、磁共振成像、超声和内窥镜检查在后天性肠皮肤瘘中的诊断和治疗作用。
