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Ileitis 回肠炎- Ileitis affects the ileum (the lowest, or last, part of the small intestine).

回肠炎影响回肠(最低的,或者最后,部分小肠)。

Results Forty patients with Crohn's disease, seen women and 33 men, underwent DBE, and the ileum was inestigated in 38 patients. There were 25 cases of ileitis, 2 of colitis, and 13 of ileocolitis. Jejunal lesions were found in two and ileal lesions proximal to the terminal ileum were found in 24 patients with Crohn's disease. DBE was superior to radiological study to detect aphthae, erosions, and small ulcers in the ileum.

结果 通过双气囊小肠镜检查发现的40例克罗恩病患者中女性7例,男性33例,其中对38例患者进行回肠检查。25例回肠炎,2例结肠炎,13例回肠结肠炎。2例有空肠病变,24例回肠病变发生在末段回肠

All patients underwent total colectomy,with ileostomy(n=1),ileorectostomy(n=2),ileoanal anastomosis or ileal pouch-anal anastomosis(n=7),and rectal mucosectomy,through the muscular sheath of rectum ileoanal/ileal pouch-anal anastomosis(n=7) respectively.

全部病人均施行了全结肠切除,采用回肠造口1例,回直肠吻合2例,直肠切除、回肠肛管吻合或回肠储袋、回肠肛管吻合7例,部分直肠切除、直肠粘膜剥脱经直肠肌鞘回肠肛管吻合7例。

The average age was 27.8 years, and there were 47.5% patients with malignant change, the average age of them was 35.9 years. The choice of operative procedures included total proctocolectomy with ileostomy in 60 cases (26.0%), subtotal colectomy+rectal polyposis electrocautery in 63 cases (27.3%), total colectomy or proetocolectomy with ileo-anal anastomosis in 12 cases (5.2%), total colectomy or proctocolertomy with ileal pouch-anal anastomosis in 19 cases (8.2%), subtotal colectomy+rectal mucoscctorny, through the muscular sheath of rectum ileo-anal anastomosis in 22 cases (9.5%), ileal pouch-anal anastomosis in 47 cases (20.3%), and subtotal proctoeoleetomy in 8 cases (3.5%).

术式选择全结肠直肠切除+末端回肠腹壁造口术60例(26.0%),全结肠部分直肠切除+回肠直肠吻合术63例(27.3%),全结肠直肠切除+回肠肛管吻合术12例(5.2%),全结肠直肠切除+回肠储袋肛管吻合术19例(8.2%),全结肠部分直肠切除+残留直肠黏膜剥脱+经直肠肌鞘回肠肛管吻合术22例(9.5%),全结肠部分直肠切除+残留直肠黏膜剥脱+经直肠肌鞘回肠储袋肛管吻合术47例(20.3%),部分结肠或直肠切除术8例(3.5%)。

Results:X-ray Barium Enema findings of AMC:No filled appendical image;widening the interval up to 2cm~3cm and forming 40~55 angles between the end of ileum and the cecum;there were half-moon impressions on the cecal paries medialis and/or the paries lateral of the end of the ileum;CT findings of AMC There were...

结果 :AMC钡肠X线征象:阑尾不显影;盲肠与回肠末端间距增宽达 2cm~ 3cm ,并形成 4 0~ 5 5度夹角;盲肠内侧壁或/和回肠外侧壁半弧形压迹,形态固定;AMC的CT征象;右髂窝区"多个"囊性病灶,呈圆形和索条状;囊壁光滑;病灶周围结构清晰。

Since FAP was first known 120 years ago, knowledge about FAP as well as clinical diagnosis and treatment of the condition has been evolving gradually, from knowing it as multiple polyposis in early years to the establishment of sized familial registration centers in American and European countries today;from permanent colostomy in the past to widespread use of up-date pouches; and from finding association of FAP with apenteric lesions to the study of APC genotype-phenotype at molecular level.

文献报道FAP已有120多年,早期认为是多发性结肠息肉病到目前建立的规模性家系登记中心;从过去采用永久性的回肠造口治疗方式到当今保留肛门回肠贮袋与肛管吻合的术式;从发现FAP肠外病变到在分子水平开展APC基因型-表现型之间的研究,FAP的临床诊治水平在不断提高。

Results:X-ray Barium Enema findings of AMC:No filled appendical image;widening the interval up to 2cm~3cm and forming 40~55 angles between the end of ileum and the cecum;there were half-moon impressions on the cecal paries medialis and/or the paries lateral of the end of the ileum;CT findings of AMC There were...

结果 :AMC钡肠X线征象:阑尾不显影;盲肠与回肠末端间距增宽达 2cm~ 3cm ,并形成 4 0~ 5 5度夹角;盲肠内侧壁或/和回肠外侧壁半弧形压迹,形态固定;AMC的CT征象;右髂窝区&多个&囊性病灶,呈圆形和索条状;囊壁光滑;病灶周围结构清晰。

Transverse scan obtained following enteroclysis demonstrates ileoileal and ileosigmoidal fistulae.

图8 为一位37岁女性回结肠克罗恩病的CT图像,灌肠后横轴位CT图像显示回肠0-回肠瘘及回肠-乙状结肠瘘。

Based on preliminary pharmacodynamical test on animals, the inhibition of gastric acid secretion of FM—DDS is better than its ordinary tablets, and the antiulcerative effect is better as well.

根据体外溶出试验表明,FPRP在服药10小时后脉冲式释药,这时药物应是到达回肠以下部位,为此,进行了药物肠道吸收部位及吸收机理的研究,结果表明:法莫替丁在十二指肠、空肠、回肠、结肠等部位均有吸收,其吸收量顺序:十二指肠>空肠>回肠>结肠,其吸收机理属于被动扩散。

CT findings of GP included gas accumulation under the recess of xiphoid,gas accumulation in the space around hepatic ligamentum teres,gas accumulation in the spatium retroperitoneale and seroperitoneum.

结果 14例中,胃十二指肠溃疡穿孔5例,外伤性十二指肠、空肠、回肠及乙状结肠穿孔5例,肠缺血坏死致回肠、结肠穿孔3例,直肠肿瘤梗阻致乙状结肠穿孔1例。

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