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| 1 | Three-dimensional endoanal ultrasound for diagnosis of perianal fistulas: reliable and objective technique显示文摘AIM: To evaluate accuracy of three-dimensional endoanal ultrasound(3D-EAUS) as compared to 2D-EAUS and physical examination(PE) in diagnosis of perianal fistulas and correlate with intraoperative findings. METHODS: A prospective observational consecutive study was performed with patients included over a two years period. All patients were studied and operated on by the Colorectal Unit surgeons. The inclusion criteria were patients over 18, diagnosed with a criptoglandular perianal fistula. The PE, 2D-EAUS and 3D-EAUS was performed preoperatively by the same colorectal surgeon at the outpatient clinic prior to surgery and the fistula anatomy was defined and they were classified in intersphincteric, high or low transsphincteric, suprasphincteric and extrasphincteric. Special attention was paid to the presence of a secondary tract, the location of the internal opening(IO) and the site of external opening. The results of these different examinations were compared to the intraoperative findings. Data regarding location of the IO, primary tract, secondary tract, and the presence of abscesses or cavities wasanalysed.RESULTS: Seventy patients with a mean age of 47years(range 21-77), 51 male were included. Low transsphincteric fistulas were the most frequent type found(33, 47.1%) followed by high transsphincteric(24,34.3%) and intersphincteric fistulas(13, 18.6%). There are no significant differences between the number of IO diagnosed by the different techniques employed and surgery(P > 0.05) and, there is a good concordance between intraoperative findings and the 2D-EAUS(k= 0.67) and 3D-EAUS(k = 0.75) for the diagnosis of the primary tract. The ROC curves for the diagnosis of transsphincteric fistulas show that both ultrasound techniques are adequate for the diagnosis of low transsphincteric fistulas, 3D-EAUS is superior for the diagnosis of high transsphincteric fistulas and PE is weak for the diagnosis of both types.CONCLUSION: 3D-EAUS shows a higher accuracy than 2D-EAUS for assessing height of primary tract in transsphincteric fistulas. Both techniques show a good concordance with intraoperative finding for diagnosis of primary tracts. | Marina Garcés-Albir Stephanie Anne García-Botello Alejandro Espi Vicente Pla-Martí Jose Martin-Arevalo David Moro-Valdezate Joaquin Ortega | 2016 | World Journal of Gastrointestinal Surgery2016，8，7： | 7 |
| 2 | Laboratory diagnosis of CHS infection with HSV by PCR performed with CSF specimens 显示文摘 | Mitchell PS Espy M J Smith TF | 1997 | J Clin Microbiol1997，35，11： | 2 |
| 3 | Isomniac's attributions:psychometric properties of the dysfunctinal beliefs and attitudes about sleep scale and the sleep disturbance questionnaire显示文摘 | Espie C A Inglis S J Harvey L | 2000 | Journal of Psychosomatic Research2000，48，： | 1 |
| 4 | Non-phamacologic treatment ofchronic insomnia显示文摘 | Morin CM Hauri P Espie C | 2000 | Sleep2000，22，2： | 1 |
| 5 | Multicenter randomized phase Ⅲ study of the cardioprotective effect of dexrazoxane (Cardioxane) in advanced/metastatic breast cancer patients treated with anthracycline-based chemotherapy显示文摘 | Marty M Espie M Llombart A | 2006 | Ann Oncol2006，17，4： | 1 |
| 6 | Dynamic gait stability, clinical correlates, and prognosis of falls among community-dwelling older adults 显示文摘 | Bhatt Espy | 2011 | Arch Phys Med Rehabil2011，92，5： | 1 |
| 7 | Obstacles to the storage of CO2 through EOR operations in the North Sea显示文摘 | Espie A A | 2003 | Greenhouse Gas Control technologies2003，20，9： | 1 |
| 8 | Authentication of atlantic salmon(Salmo salar)using real-time PCR显示文摘 | Beatriz Herrero Juan M Vieites Montserrat Espieira | 2011 | Food Chemistry2011，127，3： | 1 |
| 9 | Breast intra:ystic papillary carcinoma: an npdate显示文摘 | Calderaro J Espie M Duclos J | 2009 | Breast J2009，15，6： | 1 |
| 10 | Real-time PCR in clinical microbiology: applications for routine laboratory testing显示文摘 | Espy MJ Uhl JR Sloan LM | 2006 | Clin Microbiol Rev2006，19，1： | 1 |
| 11 | Multieanter randomized phase III study of the eardioproteetive effect of dexrazoxane (Cardioxane) in advanced/metastatic breast cancer patients treated with anthraeyeline- based ehemotherapy显示文摘 | Marty M Espie M Llombart A | 2006 | Annals of Oneology2006，17，2： | 1 |
| 12 | obstacles to the seorage of CO2 through EOK operatons in the North sea显示文摘 | ESPIE A A | 2003 | Greenhouse Gas Control Technologies2003，20，9： | 1 |
| 13 | Two consecutive large outbreaks of Salmonella enterica serotype Agona infections in infants linked to the consumption of powdered infant formula显示文摘 | Brouard C Espie E Weill FX | 2007 | Pediatr Infect Dis J2007，26，2： | 1 |
| 14 | Real-time PCR in clinical microbiology:applications for routine laboratory testing显示文摘 | Espy MJ Uhl JR Sloan LM | 2006 | Clin Microbiol Rev2006，19，1： | 1 |
| 15 | Hormone replacement therapy in breast cancer patients:a study of 230 patients,with a case-control study显示文摘 | Gorins A Espie M Bedairia N | 2003 | Gynecol Obstet Fertil2003，31，78： | 1 |
| 16 | Plasma inactivation of food-related microorganisms in liquid显示文摘 | Marsili L Espie S Anderson John G | 2002 | Radiation Physics and Chemistry2002，65，： | 1 |
| 17 | Real-time PCR in clinical microbiology:applications for routine laboratory testing显示文摘 | Espy MJ Uhl JR Sloan LM | 2006 | Clin Microbiol2006，19，1： | 1 |
| 18 | Sensitivity and specificity of proce-dures for the differential diagnosis of epileptic and non-epi-leptic seizures:Asystematic review显示文摘 | Cuthill FM Espie CA | 2005 | Seizure2005，14，5： | 1 |
| 19 | Psychological and behavioral treatment of insomnia: update of the recent evidence ( 1998 - 2004 ) 显示文摘 | Morin CM Bootzin RR Buysse DJ Edinger JD Espie CA Lichstein KL | 2006 | Sleep2006，29，11： | 1 |
| 20 | Modulation of osteoclast formation显示文摘 | Quinn JM Gil espie MT | | 0，，03： | 1 |
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