アナルフィスチュラの磁気共鳴画像検査

P J Lunniss¹, P Armstrong, P G Barker

¹Professorial Surgical Unit, St Bartholomew's Hospital, London, UK.

Lancet (London, England)

|August 15, 1992

まとめ

磁気共鳴画像 (MRI) は,手術前の門フィスチュラを正確にマッピングします. このイメージングテクニックは,複雑なまたは再発した症例に有用であり,外科計画と結果を改善します.

科学分野:

メディカルイマージング (医学イメージング)
胃腸内科胃腸内科
手術評価について

背景:

アナルフィスチュラの正確な評価は,手術の成功に不可欠です.
フィスチュラの評価のための現在の方法は,技術的に困難である可能性があります.
難易度が高い,または再発するフィスチュラは,正確な診断ツールを必要とします.

研究の目的:

アナルフィスチュラの経路を線引きする磁気共鳴画像 (MRI) の精度を決定する.
MRIの解釈と手術中の発見を比較する.
複雑な門フィスチュラの管理におけるMRIの有用性を評価する.

主な方法:

アナルフィスチュラを持つ16人の患者を対象とした前向きな研究.
患者は磁気共鳴画像 (MRI) を受け,その後に外科介入を行った.
MRIスキャンの解釈は,文書化された手術結果と比較されました.

主要な成果:

MRIの解釈は,16人の患者のうち14人 (87.5%) の手術結果と正確に一致しました.
この研究では,手術前のMRIと外科手術の結果の間の高い一致が示されました.
MRIは,他の方法では見逃されるかもしれないフィスチュラ経路を成功裏に特定しました.

結論:

磁気共鳴画像 (MRI) は,門フィスチュラの境界を定めるための正確な方法です.
複合的または再発性門フィスチュラを持つ患者の場合,MRIを考慮する必要があります.
このイメージング方式は,微妙な異常を明らかにすることによって,外科計画を改善します.

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