Diagnostic Value of Recto-perineal Ultrasound in Perianal Fistula; Pre Versus Intraoperative Findings: a Comparative Cross Section Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- sex
研究概览
简要总结
Perianal fistula is a common anal problem. It needs only surgery. MRI is the best preoperative diagnostic tool, but it is demanding as it is expensive, time consuming and needs an experienced radiologist. So, we tried to find an alternative diagnostic tool which is cheaper, time saving and accurate and comparing its preoperative reports with intraoperative findings.
study was held in surgery department in Zagazig University Hospitals from September 2023 to March 2024. It included 93 patients with perianal fistula who were diagnosed clinically and radiological by trans recto-perineal ultrasound and comparing pre-operative ultrasound findings with intra-operative surgical findings.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Perianal abscess and\or fistula
- •Patients who accidently discovered during transvaginal ultrasound.
- •Age group between above 18 years old
排除标准
- •Informed consent refusal.
- •Proved anal malignancy.
- •Patients less than 18 years old
结局指标
主要结局
sex
时间窗: from 2 to 3 days before surgery
sex of patients was recorded as male or female
body mass index
时间窗: from 2 to 3 days before surgery
patient BMI was recorded by dividing weight in kg by length square in meters
history of abscess drainage
时间窗: from 2 to 3 days before surgery
history of perianal abscess was recorded
type fistulous tract
时间窗: from 2 to 3 days pre-operative and intraoperatively
type of fistula was detected in relation to anal sphincters by ultrasound and intraoperative
abscess cavity
时间窗: from 2 to 3 days pre-operative and intraoperatively
presence or absence of abscess cavity was assessed in ultrasound and intraoperative
fistula branches
时间窗: from 2 to 3 days pre-operative and intraoperatively
presence of fistula branches and their number were assessed by ultrasound and during surgery
age
时间窗: from 2 to 3 days before operation
age of patient was recorded in years
Internal opening
时间窗: from 2 to 3 days pre-operative and intraoperatively
presence and site of internal opening was assessed by digital rectal examination and utrasound
次要结局
- other anal disease(from 2 to 3 days before surgery)
- anal discharge(from 2 to 3 days before surgery)
- external openings(from 2 to 3 days pre-operative and intraoperatively)
研究者
Reham Zakaria Mohamed Ahmed
Principal Investigator
Zagazig University