Sudoł-Szopińska Iwona, Kołodziejczak Małgorzata, Aniello Giulio Santoro
Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland 2 Department of Diagnostic Imaging, Warsaw Medical University, Poland.
Department of Proctology, St. Elizabeth Hospital, Warsaw, Poland.
Med Ultrason. 2019 Nov 24;21(4):483-486. doi: 10.11152/mu-2154.
Anorectal fistula surgery is associated with risks of recurrence and/or faecal incontinence due to anal sphincter injuries. In order to minimise these complications, preoperative evaluation of the anatomy of the fistula tract and morphology of the anal sphincters is mandatory. Anal endosonography (AES) and Magnetic Resonance Imaging (MRI), due to high resolution of images and ability to identify a number of fistula elements which are important for surgeons in treatment planning, are the methods of choice in the diagnosis of anorectal fistulas.In this paper, a new template for endosonographic and MRI report, systematically describing all anorectal fistula's characteristics, is presented. This template provides practical information for the surgeon, useful in preoperative assessment and postoperative follow-up.
肛瘘手术存在因肛门括约肌损伤而导致复发和/或大便失禁的风险。为了将这些并发症降至最低，术前对瘘管解剖结构和肛门括约肌形态进行评估是必不可少的。由于肛门腔内超声检查（AES）和磁共振成像（MRI）具有高分辨率图像以及能够识别许多对外科医生治疗计划很重要的瘘管要素，它们是诊断肛瘘的首选方法。本文提出了一种用于腔内超声和MRI报告的新模板，系统地描述了所有肛瘘的特征。该模板为外科医生提供了实用信息，有助于术前评估和术后随访。
