Current applications of transperineal ultrasound in gastroenterology

作     者：Andreia Albuquerque Eduardo Pereira 

作者机构：Gastroenterology DepartmentCentro Hospitalar Sao Joao Gastroenterology DepartmentHospital Amato Lusitano 

出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)

年 卷 期：2016年第8卷第4期

页      面：370-377页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Transperineal ultrasound Inflammatory perianal disease Posterior compartment Obstructed defecation Fecal incontinence 

摘      要：Transperineal ultrasound is an inexpensive,safe and painless technique that dynamically and non-invasively evaluates the anorectal *** has multiple indications,mainly in urology,gynaecology,surgery and gastroenterology,with increased use in the last *** is performed with conventional probes,positioned directly above the anus,and may capture images of the anal canal,rectum,puborectalis muscle(posterior compartment),vagina,uterus,(central compartment),urethra and urinary bladder(anterior compartment).Evacuatory disorders and pelvic floor dysfunction,like rectoceles,enteroceles,rectoanal intussusception,pelvic floor dyssynergy can be diagnosed using this *** makes a dynamic evaluation of the interaction between pelvic viscera and pelvic floor musculature,with images obtained at rest,straining and sustained *** technique is an accurate examination for detecting,classifying and following of perianal inflammatory *** can also be used to sonographically guide drainage of deep pelvic abscesses,mainly in patients who cannot undergo conventional *** ultrasound correctly evaluates sphincters in patients with fecal incontinence,postpartum and also following surgical repair of obstetric *** are also some studies referring to its role in anal stenosis,for the measurement of the anal cushions in haemorrhoids and in chronic anal pain.