Graf D, Aeberhard P
Chirurgische Klinik, Kantonsspital Aarau.
Helv Chir Acta. 1994 Jul;60(5):691-6.
We performed endoluminal sonography in 23 patients with suspected inflammatory perianal or perirectal disease. In 11 patients with known fistulous disease we searched for an abscess cavity or attempted to demonstrate the track of the fistula. 8 patients were examined for perianal pain of unknown origin. In 1 patient we used the rectal sonography to define the size and precise location of an abscess. Another patient was examined for a submucous rectal tumor. Twice we used sonography for postoperative follow-up, once after incision of a dorsal horseshoe abscess and once after lateral sphincterotomy. In 19 of 23 patients (82%) with perianal inflammatory disease, endorectal sonography was either diagnostic or provided useful additional informations.
我们对23例疑似炎性肛周或直肠周围疾病的患者进行了腔内超声检查。在11例已知瘘管病的患者中，我们寻找脓肿腔或试图显示瘘管的走行。8例患者因不明原因的肛周疼痛接受检查。在1例患者中，我们使用直肠超声来确定脓肿的大小和精确位置。另1例患者接受了直肠黏膜下肿瘤的检查。我们两次使用超声进行术后随访，一次是在背侧马蹄形脓肿切开术后，一次是在外侧括约肌切开术后。在23例肛周炎性疾病患者中的19例（82%），直肠内超声检查具有诊断价值或提供了有用的额外信息。
