Magnetic resonance imaging of fistula-in-ano.

Autor: Lunniss PJ; Department of Surgery, St. Mark's Hospitals, London, United Kingdom., Barker PG, Sultan AH, Armstrong P, Reznek RH, Bartram CI, Cottam KS, Phillips RK
Jazyk: angličtina
Zdroj: Diseases of the colon and rectum [Dis Colon Rectum] 1994 Jul; Vol. 37 (7), pp. 708-18.
DOI: 10.1007/BF02054416
Abstrakt: Purpose: Successful management of anal fistulas depends upon accurate assessment of the primary tract and any secondary extensions. Preoperative imaging has, to date, been disappointing.
Methods: A prospective study of 35 patients with a clinical diagnosis of fistula-in-ano was performed comparing magnetic resonance imaging with the independently documented operative findings. Magnetic resonance imaging was also compared with anal endosonography in 20 patients.
Results: Magnetic resonance imaging is accurate and demonstrates pathology missed at surgery by experienced coloproctologists. Magnetic resonance imaging is superior to anal endosonography.
Conclusions: Magnetic resonance imaging is advocated as the method of choice when imaging is required for anal fistulas.
Databáze: MEDLINE
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