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双腔气囊管在气钡灌肠诊断老年性结肠癌的应用价值

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摘要 目的:探讨应用双腔气囊管适度加压气钡灌肠双对比造影(简称CEDC),对老年性结肠癌并发肠梗阻病变的诊断价值。材料与方法回顾性分析38例老年性(>60岁)结肠癌患者,在术前均行纤维结肠镜检查,我们于术前应用双腔气囊管加压气钡灌肠双重造影检查并经手术及病理证实为结肠癌致急性完全机械性肠梗阻病例。结果梗阻发生于盲肠部5例,升结肠及结肠肝曲平面18例,脾曲及降结肠。乙状结肠平面15例,根据气钡通过肠腔狭窄段并测其管径,将结肠癌并发肠梗阻的程度分为轻度(肠管狭窄>80%),中度(肠管狭窄80%~90%),重度(肠管狭窄>90%),结肠癌按大体标本分为增生型、溃疡型、浸润型及混合型分别为12例、3例、8例、15例,适度加压行CEDC检查对结肠癌的范围,性质和梗阻情况等显示更为准确。结论结肠癌致急性机械性肠梗阻,应用双腔气囊管作CEDC能进一步显示结肠梗阻病变,对癌性狭窄病变段作适当分级并应用适度压力灌肠造影,可明显提高结肠癌诊断正确率,从而弥补结肠镜检查的不足。
作者 程运健
机构地区 阳江市人民医院
出处 《实用医技杂志》 2007年第22期2971-2973,共3页 Journal of Practical Medical Techniques
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  • 1[2]Rubin GD, Beaulieu CF, Argiro V,et al. Perspective volume renderi ng of CT and MR images: Applications for endoscopic imaging. Radiology, 1996, 19 9:321
  • 2[3]Hara AK, Johnson CD, Reed JE,et al. Colorectal polyp detection wi th CT colography: Two-versus three-dimensional techniques. Radiology, 1996, 20 0:49
  • 3[4]Hara AK, Johnson CD, Reed JE,et al. Detection of colorectal polyp s by computed tomographic colography: Feasibility of a novel technique. Gastroen terology, 1996, 110:284
  • 4[5]Hara AK, Johnson CD, Reed JE,et al. Detection of colorectal polyp s with CT colography: Initial assessment of sensitivity and specificity. Radiolo gy, 1997, 205:59
  • 5[6]Royster AP, Fenlon HM, Clarke PD,et al. CT colonoscopy of colorec tal neoplasms: Two-dimensional and three-dimensional virtual-reality techniqu es with colonoscopic correlation. AJR, 1997, 169:1237
  • 6[7]Johnson CD, Hara AK, Reed JE. Computed tomographic colonography ( virtual colonoscopy): A new method for detecting colorectal neoplasms. Endoscop y, 1997, 29:454
  • 7[1]Debatin JF, Luboldt W, Bauerfeind P. Virtual colonoscopy in 1999: Computed tomography or magnetic resonance imaging? Endoscopy, 1999, 31: 174
  • 8Sott NA, Jeacock J, Kingston RD Risk factors in patients presenting as an emergency with colorectal cancer. Br J Surg,1995:82(3) :321.

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