{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:06:53Z","timestamp":1777727213958,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"New technology project of the Naval Military Medical University","award":["ZXJS2024C04"],"award-info":[{"award-number":["ZXJS2024C04"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To explore the clinical value of preoperative transrectal three-dimensional ultrasound in diagnosing the internal opening and classifying complex anal fistulas, and to evaluate its impact on surgical efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 42 patients with complex anal fistulas were divided into an observation group and a control group. The control group underwent conventional transrectal ultrasound examination, while the observation group underwent three-dimensional transrectal ultrasound examination. Perioperative data were recorded and compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The observation group showed significantly higher diagnostic accuracy (p\n                      <jats:italic toggle=\"yes\">\u2009=\u2009<\/jats:italic>\n                      0.014) and a higher cure rate (66.67% vs. 42.86%) than the control group. Anal sphincter function improved postoperatively in both groups, with the observation group achieving superior outcomes at 6 months. The observation group also demonstrated lower Wexner incontinence scores (p\n                      <jats:italic toggle=\"yes\">\u2009=\u2009<\/jats:italic>\n                      0.015), shorter hospitalization and wound healing times, and higher SF-36 scores in bodily pain, general health, and health transition domains. However, postoperative complication rates and 6-month recurrence rates were similar between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative transrectal three-dimensional ultrasound can accurately identify the internal opening and fistula tract of complex anal fistulas, which is beneficial for improving treatment efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261430476","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T02:16:07Z","timestamp":1774318567000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative transrectal three-dimensional ultrasound improves complex anal fistula diagnosis and surgical outcomes"],"prefix":"10.1177","volume":"54","author":[{"given":"Shuai","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Ultrasound Diagnosis and Treatment of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnosis and Treatment of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnosis and Treatment of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zixuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7100-5207","authenticated-orcid":false,"given":"Qi","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnosis and Treatment of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanxin","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Anal Surgery of Changhai Hospital, Naval Military Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_9_2_2","first-page":"209","article-title":"Current therapy of cryptoglandular anal fistula: gold standards and alternative methods","volume":"148","author":"Fritz S","year":"2023","unstructured":"Fritz S, Reissfelder C, Bussen D. 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