まとめ
大腸内視鏡検査は,バリウム透析が不確定である場合,直腸出血の診断に役立ちます. この検査は,患者の41%で出血の源を特定し,ポリップや癌などの状態を明らかにしました.
科学分野:
- 胃腸内科 胃腸内科
- 結腸直腸外科手術について
- 診断用イメージング
背景:
- 直腸出血は,潜在的な結腸異常を示す一般的な症状です.
- バリウム透水検査は,直腸出血の原因を特定するのに不十分であることが多い.
- 大腸内視鏡は,大腸を調査するための直接的な視覚化方法を提供します.
研究 の 目的:
- 陰性バリウム клизмаの結果から原因不明の直腸出血の患者におけるコロノスコピーの診断収率を評価する.
- この患者グループにおいて,コロノスコピーによって特定された様々な大腸疾患の有病率を決定する.
主な方法:
- 結腸直腸出血を呈する患者に215回の結腸内視鏡検査を行った.
- 患者は以前,決定的な診断なしにバリウム浸泡検査を受けていました.
主要な成果:
- コロノスコーピーは,出血の確率は41%で,出血の確率は41%であった.
- 特定された疾患には,がん (13%),結腸ポリープ (14%),炎症性腸疾患 (7%) が含まれていた.
- 血の出血源は,幽霊の血と比較して,直腸の血流が率直な患者でより容易に発見されました.
結論:
- 大腸内視鏡検査は,最初の放射線学的評価が陰性である場合,直腸出血を調査するための重要なツールです.
- この研究は,大腸病理学のマーカーとしての直腸出血の重要性を強調しています.
- 大腸内視鏡検査は高い診断価値を示しており,特に複数の陰性バリウム浸泡症の患者では特にそうである.
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