论文部分内容阅读
收集我院资料完整的单对比、双对比钡灌肠检查295例,有阳性发现者81例,占27.5％。其中结肠息肉31例,结肠癌18例,溃疡性结肠炎15例,家族性大肠息肉2例,结肠克隆氏病4例,结肠多发性憩室2例,其他疾病9例。均经手术、肠镜或病理证实。 造影效果分析:按照检查效果将病例分为优、良、中、差四级,各为165、90、56、4例。分析良以下130例造影效果欠佳、不足乃至失败的原因为:肠道不清者51例,水分过多造影剂被稀释影响涂布者39例,钡剂分布及涂布不均者21例,投照因素者8例,钡剂进入回肠与直肠、乙状结肠明显重迭者7例,粘膜涂布呈现明显龟裂者4例。 体会:结肠内粪便是造成假阳性最常见的原
Collect a single hospital data complete contrast, double contrast barium enema check 295 cases, 81 cases were found positive, accounting for 27.5%. Colon polyps in 31 cases, colon cancer in 18 cases, ulcerative colitis in 15 cases, 2 cases of familial colorectal polyps, colon Crohn’s disease in 4 cases, multiple colon diverticulum in 2 cases, 9 cases of other diseases. All were confirmed by surgery, colonoscopy or pathology. Analysis of contrast effects: In accordance with the examination results will be divided into excellent, good, moderate and poor four, each of 165,90,56,4 cases. Analysis of the following 130 cases of poor imaging results, inadequate or even failed because: intestinal unclear in 51 cases, excessive water contrast agent is diluted affect the application of 39 cases, the distribution of barium and unevenly distributed in 21 cases , 8 patients according to the factors of radiation, barium into the ileum and rectum, sigmoid colon obvious overlap in 7 cases, mucosal coating showed obvious crack in 4 cases. Experience: faecal colon is the most common cause of false positive