内窥镜联合造影检查在邻近体腔的慢性窦道创面诊疗中的临床获益研究

马先; 陶贵录; 奥布力阿西木·牙库普; 蒋旻菲; 吴敏洁; 唐佳俊; 刘英开; 陆勇; 王晗琦; 孙晶; 黄丽芳; 陆树良

doi:10.3760/cma.j.issn.1009-2587.2019.06.008

内窥镜联合造影检查在邻近体腔的慢性窦道创面诊疗中的临床获益研究

doi: 10.3760/cma.j.issn.1009-2587.2019.06.008

1. 上海交通大学医学院附属瑞金医院创面修复中心 200025;
2. 上海交通大学医学院附属瑞金医院放射科 200025;
3. 上海交通大学医学院附属瑞金医院胃肠外科 200025

基金项目:

国家自然科学基金（81671916）

国家卫生计生委重大疾病防治科技行动计划创伤修复专项（2017ZX01001）

计量
- 文章访问数: 117
- HTML全文浏览量: 20
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2019-03-25
- 网络出版日期: 2021-10-28
- 刊出日期: 2019-06-20

Study on the clinical benefits of endoscopy combined with contrast fistulography in the diagnosis and treatment of chronic wound with sinus tract adjacent to body cavity

1. Wound Healing Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
2. Radiology Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
3. Gastrointestinal Surgery Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

摘要

摘要: 目的探讨内窥镜联合造影检查在邻近体腔的慢性窦道创面的临床诊疗中的优势。方法选择笔者单位创面修复中心门诊2017年10月—2019年3月收治的32例(男14例、女18例，年龄17～87岁)接受内窥镜联合造影检查(CT或磁共振成像)诊疗的、邻近体腔的慢性窦道创面患者，对其诊疗结果进行回顾性分析。统计以下指标：(1)涉及体腔的窦道创面和瘘管发生率。(2)一般检查和内窥镜联合造影的涉及体腔的窦道创面检出率。(3)一般检查和内窥镜联合造影的创面深部病理特征检出率。(4)一般检查和内窥镜联合造影检查后获益患者比例。对数据行配对χ²检验、Fisher确切概率法检验。结果 (1)本组患者的涉及体腔的窦道创面发生率为43.75%(14/32)，瘘管发生率为0。(2)本组患者内窥镜联合造影的涉及体腔的窦道创面检出率为43.75%(14/32)，明显高于一般检查的12.50%(4/32)，χ²＝32.0，P<0.01。(3)本组患者的内窥镜联合造影的创面深部病理特征检出率为37.50%(12/32)，明显高于一般检查的0(P<0.01)。(4)本组患者内窥镜联合造影检查后获益患者比例为71.43%(20/28)，明显高于一般检查后的12.50%(4/32)，χ²＝21.6，P<0.01。结论相较一般检查，内窥镜联合造影技术对邻近体腔的慢性窦道创面的检查更为准确，邻近体腔的慢性窦道创面的诊疗可因此技术的支持而获得益处。
- 内窥镜 /
- 造影剂 /
- 治疗，临床研究性 /
- 慢性创面
Abstract: Objective To explore the advantages of endoscopy combined with contrast fistulography in the clinical diagnosis and treatment of chronic wound with sinus tract adjacent to body cavity. Methods Thirty-two patients (14 males and 18 females, aged 17 to 87 years) of chronic wounds with sinus tracts adjacent to body cavity, who underwent endoscopy combined with contrast fistulography (CT or magnetic resonance imaging) for the diagnosis and treatment in the Outpatient Department of Wound Healing Center of our hospital from October 2017 to March 2019, were enrolled in the study. Their diagnosis and treatment results were retrospectively analyzed. The following data were calculated. (1) The incidence rates of sinus wound involving body cavity or fistula. (2) The detection rates of sinus wound involving body cavity detected by routine examination and by endoscopy combined with contrast fistulography. (3) The detection rate of pathological features at deep part of wound by routine examination and by endoscopy combined with contrast fistulography. (4) The proportion of patients who benefited from routine examination and from endoscopy combined with contrast fistulography. Data were processed with paired chi-square test and Fisher′s exact probability test. Results (1) The incidence rate of sinus wound involving body cavity was 43.75% (14/32); the incidence rate of fistula was 0. (2) The detection rate of sinus wound involving body cavity detected by endoscopy combined with contrast fistulography was 43.75% (14/32), which was obviously higher than that by routine examination [12.50% (4/32), χ²=32.0, P<0.01]. (3) The detection rate of pathological features at deep part of wound by endoscopy combined with contrast fistulography was 37.50% (12/32), which was obviously higher than that by routine examination (0, P<0.01). (4) The proportion of patients who benefited from endoscopy combined with contrast fistulography was 71.43% (20/28), which was obviously higher than that from routine examination [12.50% (4/32), χ²=21.6, P<0.01]. Conclusions Compared with routine examination, endoscopy combined with contrast fistulography is more accurate in detecting chronic wound with sinus tract adjacent to body cavity. The diagnosis and treatment of chronic wound with sinus tract adjacent to the body cavity can benefit from this joint examination.
- Endoscopes /
- Contrast media /
- Therapies, investigational /
- Chronic wounds