Saclarides T J
Rush Medical College, Chicago, USA.
Surg Clin North Am. 1998 Apr;78(2):237-49. doi: 10.1016/s0039-6109(05)70311-x.
Endorectal ultrasound is a very useful diagnostic adjunct for benign and malignant anorectal diseases. The only prerequisite in performing this test is that the examiner appreciate the impact that EUS has on the clinical management of patients. For example, the information obtained when scanning rectal cancer dictates whether local excision (i.e., sphincter preservation) or preoperative adjuvant therapy followed by radical resection is chosen. For benign disease, EUS helps direct therapy for patients with fecal incontinence and selects those patients most likely to benefit from reconstructive surgery.
直肠内超声是诊断良性和恶性肛肠疾病非常有用的辅助手段。进行这项检查的唯一前提是检查者要认识到超声内镜对患者临床管理的影响。例如，扫描直肠癌时获得的信息决定是选择局部切除（即保留括约肌）还是先进行术前辅助治疗然后再进行根治性切除。对于良性疾病，超声内镜有助于指导大便失禁患者的治疗，并筛选出最有可能从重建手术中获益的患者。
