| W.-C. Huang |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=None ------>paper_class3=1 ------>paper_class2=2 ------>vol=2005 ------>confirm_bywho=sihuang ------>insert_bywho=sherry ------>Jurnal_Rank=None ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=94 ------>medlineContent= ------>unit=J0400 ------>insert_date=20081124 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=55 ------>journal_name=Ultrasound Obstet Gynecol ------>paper_name=Three-dimensional ultrasonographic findings in ------>confirm_date=20081125 ------>tch_id=083024 ------>pmid=19824116 ------>page1=90 ------>fullAbstract=AIM: To evaluate the effectiveness of three-dimensional endoanal ultrasound (3D-EAUS) in the assessment of anal fistulae with and without H(2)O(2) enhancement. METHODS: Sixty-one patients (37 males, aged 17-74 years) with anal fistulae, which were not simple low types, were evaluated by physical examination and 3D-EAUS with and without enhancement. Fistula classification was determined with each modality and compared to operative findings as the reference standard. RESULTS: The accuracy of 3D-EAUS was significantly higher than that of physical examination in detecting the primary tract (84.4% vs 68.7%, P = 0.037) and secondary extension (81.8% vs 62.1%, P = 0.01) and localizing the internal opening (84.2% vs 59.7%, P = 0.004). A contrast study with H(2)O(2) detected several more fistula components including two primary suprasphincteric fistula tracks and one supralevator secondary extension, which were not detected on non-contrast study. However, there was no significant difference in accuracy between 3D-EAUS and H(2)O(2)-enhanced 3D-EAUS with respect to classification of the primary tract (84.4% vs 89.1%, P = 0.435) or secondary extension (81.8% vs 86.4%, P = 0.435) or localization of the internal opening (84.2% vs 89.5%, P = 0.406). CONCLUSION: 3D-EAUS was highly reliable in the diagnosis of an anal fistula. H(2)O(2) enhancement was helpful at times and selective use in difficult cases may be economical and reliable. ------>tmu_sno=None ------>sno=19819 ------>authors2=S.-H. Yang ------>authors3=J.-M. Yang ------>authors4= ------>authors5= ------>authors6= ------>authors6_c= ------>authors=W.-C. Huang ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Three-dimensional endoanal ultrasonographic assessment of an anal fistula with and without H(2)O(2) enhancement. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=25 ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2008 ------>submit_flag=None ------>publish_month=1 |