Volume 44 Issue 5
May  2023
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Xia ZHENG, Xiaobo HUANG, Jing CHENG, Xu YANG, Dan HAN. Clinical Application of MRI Three-dimensional Visualization Reconstruction in the Evaluation of Complex Anal Fistula[J]. Journal of Kunming Medical University, 2023, 44(5): 90-94. doi: 10.12259/j.issn.2095-610X.S20230516
Citation: Xia ZHENG, Xiaobo HUANG, Jing CHENG, Xu YANG, Dan HAN. Clinical Application of MRI Three-dimensional Visualization Reconstruction in the Evaluation of Complex Anal Fistula[J]. Journal of Kunming Medical University, 2023, 44(5): 90-94. doi: 10.12259/j.issn.2095-610X.S20230516

Clinical Application of MRI Three-dimensional Visualization Reconstruction in the Evaluation of Complex Anal Fistula

doi: 10.12259/j.issn.2095-610X.S20230516
  • Received Date: 2023-02-09
  • Publish Date: 2023-05-25
  •   Objective   To explore the clinical value of MRI three-dimensional visualization (3DV) reconstruction technology in the evaluation of complex anal fistula.   Methods   The preoperative MRI data of 46 patients with complicated anal fistula confirmed by operation were collected retrospectively and divided into 2D-MRI group and 3DV-MRI group according to the image. The number of internal orifice, fistula and pus cavity were observed respectively, and the images of the two groups were scored according to the scoring standard of Likert scale from the four aspects of clinical concern.   Results   In the two groups, 64 (81.0%) and 70 (88.6%) internal orifices, 82 (85.4%) and 84 (87.5%) fistulas, 33 (91.7%) and 32 (88.9%) pus cavities were detected respectively.   Conclusion   Both 2D MRI and 3DV MRI reconstruction images have a high detection rate and accuracy in the preoperative diagnosis of complex anal fistula; Compared with conventional 2D-MRI, 3DV-MRI images can provide more valuable guidance information for clinicians in the diagnosis and treatment of complex anal fistula, increase clinicians' understanding of the extent, scope and adjacent structures of the disease, and have better clinical application value in reducing postoperative recurrence and damage to the anal sphincter.
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