干旱区生态环境知识资源中心(Arid): MRI对先天性肛门直肠畸形的诊断价值

Arid

	MRI对先天性肛门直肠畸形的诊断价值
其他题名	The diagnostic value of MRI on anorectal malformation
	邱大胜 1; 孔祥泉 2; 汤绍涛 3; 徐丽莹 2; 于群 2; 刘定西 2
ISSN	1005-1201
出版年	2006
卷号	40 期号:12 页码:1292-1294
中文摘要	目的探讨MRI在先天性肛门直肠畸形中的诊断价值.方法搜集2002年5月至2004年5月经手术治疗的先天性肛门直肠畸形患者24例,术前均行MR检查.结果 24例患者中5例肛门高位闭锁,直肠盲端均在耻骨尾骨线(PC线)以上,其到肛门窝的距离＞25 mm,其中2例骶尾椎发育畸形、1例合并肾脏发育畸形,2例尿道直肠瘘,1例膀胱直肠瘘;5例肛门括约肌均不对称.7例肛门中位闭锁,直肠盲端与PC线基本平齐,其到肛门窝的距离平均15 mm,其中5例合并尿道瘘,2例合并前庭瘘.12例低位闭锁,直肠盲端均在PC线以下,其到肛门窝的距离＜10 mm.其中3例会阴部瘘.19例中低位肛门闭锁患者在T1WI加抑脂序列显示10例肛门括约肌发育良好,9例发育稍不对称.结论 MRI在先天性肛门直肠畸形术前诊断准确率高,并可清晰显示瘘管及肛门括约肌,为手术方式的选择、术后并发症的预测及预后评估提供可靠的依据.
英文摘要	Objective To discuss the value of MRI on anorectal malformation. Methods Twenty-four cases with operatively proved anorectal malformation were collected. MR Imaging was performed in all patients. Results High locution impcrforate anus were demonstrated in 5 cases, the rectal end of them was above PC line, and the distance between the rectal end and anal skin pouch was more than 25 mm. Two cases of the malformation with vertebrae sacrales and caudal vertebrae and 1 case together with the malformation of kidney, 3 cases of the rectourethral fistula and rectobladdery fistula were found. The sphincter of anus were asymmetry in all the 5 cases. Seven cases were proved of middle location of imperforate anus. The rectal end was equal with PC line, the distance between the rectal end and anal skin pouch was about 15 mm . Five cases were found the fistula between the urethra and the rectum, 2 cases were found the fistula between the vestibule and the rectum. Twelve cases were proved of low location of imperforate anus. The rectal end was under PC line, the distance between the rectal end and anal skin pouch was less than 10 mm. Three eases of perineal fistula were found. The sphincter of anus was normal in 10 cases on imaging of saturated fat sequence, 9 oases were found slightly asymmetry in middle and low location imperforate anus. Conclusion In the pre-operation of imperforate anu, the located diagnosis of MRI had high accuracy, and the combinations of malfonnations were display clearly. It could afford the witnesses for the choice of operative fashion and the forecast of the prognosis or complication.
中文关键词	消化系统畸形 ; 直肠疾病 ; 磁共振成像
英文关键词	Digestive system abnormalities Rectal diseases Magnetic resonance imaging
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:2657614
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/220543
作者单位	1.湖北省肿瘤医院放射科, 430079; 2.华中科技大学同济医学院附属协和医院放射科, 武汉, 湖北 430022, 中国; 3.华中科技大学同济医学院附属协和医院小儿外科, 武汉, 湖北 430022, 中国
推荐引用方式 GB/T 7714	邱大胜,孔祥泉,汤绍涛,等. MRI对先天性肛门直肠畸形的诊断价值[J],2006,40(12):1292-1294.
APA	邱大胜,孔祥泉,汤绍涛,徐丽莹,于群,&刘定西.(2006).MRI对先天性肛门直肠畸形的诊断价值.,40(12),1292-1294.
MLA	邱大胜,et al."MRI对先天性肛门直肠畸形的诊断价值".40.12(2006):1292-1294.