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乙状结肠

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NEW YORK, Jan 2 - The decision to defer colonoscopy after medium-sized polyps (0.6 to 0.9 cm) are obsered during flexible sigmoidoscopy could mean that some adanced adenomas and cancers will be missed, according to a report in the December issue of Gastroenterology.

纽约,1月2日----据12月在《胃肠病学杂志》发表的一份报告称:在可屈性乙状结肠镜检查中发现中等大小的息肉(0.6 到 0.9 cm)之后,对其延期进行结肠镜检查意味着一些进展性的腺瘤或癌将被漏诊。

In an update of its 2002 recommendation, the USPSTF now recommends that adults aged 50 to 74 years be screened in 1 of the following ways: every year with high-sensitivity fecal occult blood testing; every 10 years with colonoscopy; or every 5 years with flexible sigmoidoscopy plus interval high-sensitivity FOBT.

在针对2002年建议的更新中,USPSTF目前建议50至74岁成人应该接受以下筛检:每年接受高敏感度粪便潜血检验;每10年接受一次大肠镜检验;或是每5年接受一次乙状结肠镜加上间隔高敏感度FOBT。

At present, the District People's Hospital of Qinzhou-owned medical equipment are: anesthesia machine, ventilator, Philips B-color ultrasound diagnostic system, a 24-hour Holter, blood pressure monitor, Aolin Ba's gastroscopy, Sigmoidoscopy , C-arm, open before the gland Vaporization low-yee, Germany laparoscopic Yike Song, fully automatic machine brewing of Chinese herbal medicine and so on is the introduction of large-scale X-ray machine, spiral CT, and other high-tech medical equipment, it can be said Qinzhou District People's Hospital of the more sophisticated medical equipment, means of inspection, will be further improved, disease research and treatment of scope.

目前,秦州区人民医院拥有的医疗设备主要有:麻醉机、呼吸机、飞利普彩色B型超声诊断系统、24小时动态心电、血压监测仪、奥林巴氏胃镜、乙状结肠镜、C型臂机、前开腺汽化电切低仪、德国艾克松腹腔镜、全自动中草药煎药机等及正在引进的大型X光机、螺旋CT等高新医疗设备,可以说秦州区人民医院的医疗设备更加精良、检查手段更趋完善,对疾病的研究和治疗范围不断扩大。

Results Among 12 cases, there were 5 male and 7 female cases, and age ranged from 14 to 56 years old. Six patients had the history of delayed defecation. Two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. Colostomy was performed first in 7 cases. Surgical procedures included Swenson operation in 3, Duhamel in 2, Rehbein in 3, Soave operation in one and stapler anastamosis in 2 cases.

结果 男5例,女7例,年龄14~56岁,6例有胎粪排出延迟病史,2例误诊为乙状结肠扭转,6例诊断为急性肠梗阻,其中7例行结肠造瘘,3例行Swenson手术,2例行Duhamel手术;3例行Rehbein手术;1例行Soave手术;外院术后复发2例,Swenson手术1例术后出现骶前感染肛周瘘管,余术后排便功能良好。

Six patients had the history of delayed defecation. two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. colostomy was performed first in 7 cases. surgical procedures included swenson operation in 3, duhamel in 2, rehbein in 3, soave operation in one and stapler anastamosis in 2 cases. presacral infection and perianal fistula occurred in one case with swenson operation.

结果 男5例,女7例,年龄14~56岁,6例有胎粪排出延迟病史,2例误诊为乙状结肠扭转,6例诊断为急性肠梗阻,其中7例行结肠造瘘,3例行swenson手术,2例行duhamel手术;3例行rehbein手术;1例行soave手术;外院术后复发2例,swenson手术1例术后出现骶前感染肛周瘘管,余术后排便功能良好。

The sigmoid colon at the right appears lighter in color than the adjacent small intestine and has a band of taenia coli muscle running longitudinally.

图示右侧乙状结肠的颜色比正常的小肠黏膜浅,大肠杆菌沿着肠壁的肌肉蔓延。

B CT scan obtained 10 mm below a shows that the rectum and sigmoid colon are compressed dorsolaterally and the uterus is compressed ventrally.

b10cm下方CT扫描显示直肠和乙状结肠被推移到背外侧,子宫被推移到腹侧。

Generally understanding the etiology, pathology, clinical manifestations and treatment of volvulus of sigmoid colon.

了解乙状结肠扭转的病因,病理,临床表现及治疗。

Objective To investigate the pathogenic reasons,early diagnosis and treatment methods of intes-tine and sigmoid colon volvulus in adults.Methods 18cases of volvulus were reviewed and analyzed reading the books about this.

目的 探讨成人小肠及乙状结肠扭转的发病原因、早期诊断及治疗方法方法回顾分析了我院近年来收治的18例肠扭转病例,复习近年来的相关文献。

" Articularly in cases presenting with gangrenous sigmoid volvulus, addition of a modified blow-hole colostomy appears to be a promising procedure to prevent anastomotic leaks,\" Dr.

&特别是并发气性坏疽的乙状结肠扭转,附加改良的小切口肠造瘘是一种预防吻合口漏的手术方式,&来自土耳其,盖遮普的盖遮普医科大学的Dr。

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