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排便後大腸鋇劑攝影增加大腸憩室的診斷率

Post-evacuation Film on Double Contrast Barium Enema Increased the Diagnostic Rate of the Diverticulosis

摘要


憩室是大腸常見病變之一,本論文目的在於利用檢查後,要求病人排便以增加腹部壓力,來觀察是否可以增加大腸鋇劑攝影對大腸憩室的診斷率。128例連續大腸鋇劑攝影判定正常的患者,我們增加攝影後排便大腸鋇劑攝影。以此方法有24位患者(19%)新增加憩室的診斷,總共48顆憩室。其中小於2公釐的憩室共38顆,佔最大比例為79%。而所發現憩室的部份多分布於盲腸到肝彎之間的右側大腸區,共42顆佔88%。所以排便後大腸鋇劑攝影確實能夠增加大腸(特別是右邊大腸)小憩室的診斷率。

並列摘要


Diverticulosis is one of the mot common diseases of the colon. We proposed to evaluate the improvement in the detection rate of diverticula in barium enema with additional post-evacuation films under increased intra-abdominal pressure. Post-evacuation films were taken in perspective 128 patients with negative findings on barium enema. The result yielded additionally increased detection of 48 diverticula in 24(19%) of 128 patients. 38(79%) of the 48 diverticula were within 2 mm in sizes and 42(88%) of them located in the right colon between the cecum and the hepatic flexure. We concluded that additional post-evacuation films undoubtedly improved the detection rate of small diverticula of the colon in barium enema.

被引用紀錄


張澤霖(2011)。不同麻醉方式下施行大腸鏡檢查病患滿意度調查〔碩士論文,元智大學〕。華藝線上圖書館。https://doi.org/10.6838/YZU.2011.00228

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