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高校教职工慢性病疾病谱分布及相关因素调查分析 被引量:6
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作者 郝雁 王艳丽 高路 《陕西医学杂志》 CAS 2016年第5期623-626,共4页
目的:探讨高校教职工慢性非传染性疾病的疾病谱,为高校制定慢性病防治策略提供理论依据。方法:以某高校教职工获得省医保门诊特殊慢性病卡的人群为研究对象,分析该人群各类常见慢性病的患病情况。结果:该人群患病率位于前7位的疾病依次... 目的:探讨高校教职工慢性非传染性疾病的疾病谱,为高校制定慢性病防治策略提供理论依据。方法:以某高校教职工获得省医保门诊特殊慢性病卡的人群为研究对象,分析该人群各类常见慢性病的患病情况。结果:该人群患病率位于前7位的疾病依次为高血压、糖尿病、冠心病、脑血管病、肿瘤、慢性阻塞性肺疾病和肝硬化;男性总体患病率高于女性(P<0.05);糖尿病、冠心病和脑血管病患病率男性均高于女性,肿瘤患病率女性高于男性(P<0.05);高血压、慢阻肺和肝硬化患病率性别无明显差异(P>0.05)。结论:慢性病的发生与年龄、吸烟、体质指数及体育锻炼有关,应加强高校教职工的健康教育和生活方式的指导,加强体育锻炼,以提高高校教职工的身体素质和生命质量。 展开更多
关键词 慢性病/诊断 横断面研究 数据收集
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Correlation between ultrasonographic and pathologic diagnosis of liver fibrosis due to chronic virus hepatitis 被引量:9
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作者 Lei Shen Ji- Qiang Li Min-De Zeng Lun-Gen Lu Si-Tao Fan Han Bao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第8期1292-1295,共4页
AIM: TO evaluate the validity of ultrasonographic and pathologic diagnosis of liver fibrosis in patients with chronic viral hepatitis. METHODS: The liver fibrosis status in 324 patients was evaluated by both needle ... AIM: TO evaluate the validity of ultrasonographic and pathologic diagnosis of liver fibrosis in patients with chronic viral hepatitis. METHODS: The liver fibrosis status in 324 patients was evaluated by both needle biopsy and ultrasonography. Liver fibrosis was divided into SO -S4 stages. S4 stage was designated as definite cirrhosis. The ultrasonographic examination included qualitative variables, description of liver surface and parenchyma, and quantitative parameters, such as diameter of vessels, blood flow velocity and spleen size. RESULTS: Ultrasonographic qualitative description of liver surface and parenchyma was related with the severity of fibrosis. Among the quantitative ultrasonographic parameters, cut-off value of spleen length (12.1 cm) had a sensitivity of 0.600 and a specificity of 0.753 for diagnosis of liver cirrhosis. The diameters of spleen (8 mm) and portal vein (12 mm) had a diagnostic sensitivity of 0.600 and 0.767, and a diagnostic specificity of 0.781 and 0.446, respectively. The diagnostic accuracy for liver cirrhosis was moderately satisfactory, and the negative predictive values of these parameters reached near 0.95. CONCLUSION: Ultrasonography can predict the degree of liver fibrosis or cirrhosis. A single ultrasonographic parameter is limited in sensitivity and specificity for the diagnosis of early cirrhosis. The presence or absence of liver cirrhosis in patients with chronic virus hepatitis can be detected using 2 or 3 quantitative and qualitative pa- rameters, especially the length of spleen, the diameter of spleen vein and echo pattern of liver surface. 展开更多
关键词 Chronic viral hepatitis Liver biopsy ULTRASONOGRAPHY
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Difficulty with diagnosis of malignant pancreatic neoplasms coexisting with chronic pancreatitis 被引量:15
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作者 Ting-Kai Leung Chi-Ming Lee +2 位作者 Fong-Chieh Wang Hsin-Chi Chen Hung-Jung Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第32期5075-5078,共4页
Chronic pancreatitis is a relatively common disease. We encountered two different cases of belatedly demonstrated pancreatic carcinoma featuring underlying chronic pancreatitis. The first case was one that was highly ... Chronic pancreatitis is a relatively common disease. We encountered two different cases of belatedly demonstrated pancreatic carcinoma featuring underlying chronic pancreatitis. The first case was one that was highly suspected as that of a malignancy based upon imaging study, but unfortunately, it could not be confirmed by intra-operative cytology at that time. Following this, the surgeon elected to perform only conservative bypass surgery for obstructive biliary complication. Peritoneal carcinomatosis was later noted and the patient finally died. The second case, a malignant mucinous neoplasm,was falsely diagnosed as a pseudocyst, based upon the lesion's sonographic appearance and associated elevated serum amylase levels. After suffering repeated hemoptysis,the patient was found to exhibit lung metastasis and peritoneal seeding. We reviewed some of the literature,including those studies discussing chronic pancreatitis predisposing to a malignant change. These two case analyses illustrate clearly that the diagnosis for such conditions, which is simply based upon imagery or pathological considerations may end up being one of a mistaken malignancy. Some of our suggestions for the treatment of such malignancies as revealed herein include,total pancreatomy for univocal mass lesion, and needle aspiration of lesion-contained tissue for amylase, CA199and CEA levels for a suspicious cystic pancreatic mass. 展开更多
关键词 Mucinous cystic neoplasm Pancreatic carcinoma PSEUDOCYST Pancreatic adenocarcinoma Chronic pancreatitis
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Diagnostics in inflammatory bowel disease: Ultrasound 被引量:20
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作者 Deike Strobel Ruediger S Goertz Thomas Bernatik 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第27期3192-3197,共6页
Diagnosis of chronic inflammatory bowel diseases (IBD) is based on a combination of clinical symptoms, laboratory tests and imaging data. Imaging of the morphological characteristics of IBD includes the assessment of ... Diagnosis of chronic inflammatory bowel diseases (IBD) is based on a combination of clinical symptoms, laboratory tests and imaging data. Imaging of the morphological characteristics of IBD includes the assessment of mucosal alterations, transmural involvement and extraintestinal manifestations. No single imaging technique serves as a diagnostic gold standard to encompass all disease manifestations. Ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) allow cross-sectional imaging of the transmural alterations and extraintestinal manifestations. While in the USA the technique of choice is CT, in Europe the focus is more on MRI and ultrasound (US). Most patients with chronic IBD are diagnosed at a young age. After baseline diagnosis many of these young patients have to undergo repetitive imaging procedures during the variable clinical course of the disease, characterized by alternate periods of remission and active disease, and in monitoring the response to treatment. US has the advantage of being noninvasive, less costly, and easily repeatable, and thus can be very useful in following up patients with IBD. In addition, rising concern about radiation exposure in young adults indicates the demand for radiation-sparing techniques like US and MRI. This article focuses on the current clinical practice of US in IBD, describing the current technologies used in transabdominal intestinal US and the characteristic sonographic findings in Crohn′s disease and ulcerative colitis. 展开更多
关键词 High-frequency waves ULTRASOUND Clinical practice Inflammatory bowel disease Color Doppler Contrast agents
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