ANAL ENDOSONOGRAPHY AND CORRELATION WITH INVITRO AND INVIVO ANATOMY

被引:162
|
作者
SULTAN, AH
NICHOLLS, RJ
KAMM, MA
HUDSON, CN
BEYNON, J
BARTRAM, CI
机构
[1] ST MARKS HOSP,DEPT RADIOL,CITY RD,LONDON EC1A 7BE,ENGLAND
[2] ST MARKS HOSP,DEPT SURG,LONDON EC1V 2PS,ENGLAND
[3] ST MARKS HOSP,DEPT PHYSIOL,LONDON EC1V 2PS,ENGLAND
[4] ST BARTHOLOMEWS HOMERTON HOSP,DEPT OBSTET & GYNAECOL,LONDON,ENGLAND
关键词
D O I
10.1002/bjs.1800800435
中图分类号
R61 [外科手术学];
学科分类号
摘要
The endosonographic anatomy of the anal sphincters was studied by in vivo and in vitro correlation with anatomical dissection. Fourteen fresh anorectal specimens (eight abdominoperineal resection, six post mortem) were scanned in a water-bath with sequential dissection and correlation with the ultrasonographic images. Accurate anatomical identification of the layers during dissection was confirmed histologically. Anal endosonography was performed during operation in 12 patients to validate the in vitro findings. The in vivo study confirmed the in vitro results. Basic endosonographic anatomy has been clarified and inaccuracies in the previous description of the longitudinal muscle and external anal sphincter corrected.
引用
收藏
页码:508 / 511
页数:4
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