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• W100502207 abstract "Le champ d’application de l’echographie endoanale aux affections de la sphere anorectale est de plus en plus etendu et de mieux en mieux evalue. L’echographie endo-anorectale est devenue la technique de reference dans l’evaluation des ruptures sphincteriennes responsables d’incontinence ou bien dans l’exploration des affections tumorales du canal anal [1–3]. Elle s’impose actuellement dans l’evaluation des suppurations anoperineales (abces ou fistules) en alternative avec l’IRM [4–6]. Toutefois, la plupart des explorations sont effectuees avec une sonde a balayage radial ou le canal anal apparait en coupe transverse [4]. L’exploration a l’aide d’une sonde lineaire permet pourtant une approche plus anatomique du canal anal, une evaluation dynamique de la sphere anale et du perinee et de completer les images obtenues par coupe radiale, definissant au mieux l’angle de la rupture. Le balayage sagittal permet en effet, une evaluation dynamique de la region anoperineale, les reperes anatomiques se deplacant dans l’axe de la sonde echographique [7]. Jusqu’a present, l’echographie endoanale constituait l’imagerie de reference pour apprecier l’integrite sphincterienne mais l’IRM est une technique emergente qui semble de plus en plus performante [8, 9]. The scope of anal endosonography applied to disorders of the anorectal area is more and more enlarged with a constant improved assessment. Endorectal echography is considered as a reference for technical investigation in cases of disrupted anal sphincter responsible of fecal incontinence and is a basic method of anal tumors diagnosis [1–3].It is also currently used to evaluate perianal sepsis i.e. abscess and fistula as an alternative to the MRI [4–6].Nevertheless, in most cases, the anal endosonography is performed with probes using a radial scanning which gives a transversal view of the anal canal [4],The approach with linear probe is closer to the anatomic structure, offers a possible dynamic evaluation of the anal and perineal area and provides a complement to the radial view more accurate for an appraisal of the angle of the rupture. In fact, the sagittal scanning provides a dynamic investigation of the anoperineal area because the anatomic landmarks are moving together with the probe axis [7].Until now, endoanal sonography was the best off in imaging for assessment of the sphincter integrity but MRI emerges more and more with an increasing efficiency [8, 9]." @default.
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• W100502207 date "2004-08-01" @default.
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• W100502207 title "Incontinence fécale: échographie endocavitaire statique et dynamique" @default.
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