Determinar la precisión diagnóstica de la ecografía tridimensional en casos de fístula perianal en comparación con los hallazgos intraoperatorios durante el procedimiento quirúrgico / Assessment of accuracy of three dimensional endo-anal ultrasound in diagnosis of perianal fistula in comparison to operative findings
Prensa méd. argent
;
106(2): 91-95, 20200000. tab
Artigo
em Inglês
| LILACS, BINACIS
| ID: biblio-1369331
ABSTRACT
Aim:
To determine the diagnostic accuracy of three dimensional ultrasound in cases of perianal fistula compared to intra-operative findings during surgical procedure.Background:
Perianal fistulae can be either low type (simple) or high type (complex) and surgical treatment options differ accordingly. Preoperative three-dimensional endoanal ultrasonography (3D-EAUS) is a promising diagnostic technique that can effectively assist in choosing the most suitable treatment option for patients with anal fistula by providing the surgeon with accurate outlining of the fistula.Methods:
The study is a cross sectional comparative study conducted at Al-Sadr Medical City during the period from September 2018 through September 2019, and included cases with fistula in ano, which were subjected to 3-D ultrasound, then followed up during surgery to obtain the intra-operative findings of the fistula.Results:
The study included (78) patients whom their age ranged from (18-65) years. Majority of cases were males (79.49%). For assessing the concordance between 3D-EAUS and the intraoperative findings the Kappa coefficient for the internal opening was 0.9825 (P-value < 0.001), for the external opening was 0.9853 (P-value < 0.00), For the course of primary tract, Kappa = 0.9754 (P-value < 0.001) and for the course of the extension tract was 0.9761 with a P-value of < 0.001.Conclusions:
Three-dimensional endoanal ultrasound is an effective and dependable tool for delineation the course of a perianal fistula.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Estudos Transversais
/
Ultrassonografia
/
Fístula Retal
/
Técnicas e Procedimentos Diagnósticos
/
Imageamento Tridimensional
/
Período Intraoperatório
Tipo de estudo:
Estudo diagnóstico
/
Estudos de avaliação
/
Estudo observacional
/
Estudo de prevalência
/
Fatores de risco
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Prensa méd. argent
Assunto da revista:
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Iraque
Instituição/País de afiliação:
AlSadr medical city/IQ
/
University of Kufa/IQ
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