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高分辨率肛门镜检查技术及其临床应用 预览 被引量:1
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作者 肖晶晶(综述) 隋龙(审校) 《国际妇产科学杂志》 2013年第4期310-313,共4页
高分辨率肛门镜检查(HRA)是将阴道镜检查应用于肛管和肛门周围区域的一项技术,是目前诊断肛门癌前病变和肛门癌的有效方法。HRA诊断肛门疾病的结果准确可靠,有敏感度高的优点,特别对高级别肛门上皮内瘤变的诊断价值更高。HRA对肛门癌... 高分辨率肛门镜检查(HRA)是将阴道镜检查应用于肛管和肛门周围区域的一项技术,是目前诊断肛门癌前病变和肛门癌的有效方法。HRA诊断肛门疾病的结果准确可靠,有敏感度高的优点,特别对高级别肛门上皮内瘤变的诊断价值更高。HRA对肛门癌前病变的筛查及降低肛门癌的发生率有重要的临床应用价值,但也有假阳性和漏诊者。综述近年HRA在肛门疾病诊断中的临床应用现状。 展开更多
关键词 乳头状瘤病毒科 人类免疫缺陷病毒 肛门肿瘤 肛门镜
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2200例健康体检者肛肠疾病筛查报告 被引量:1
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作者 朱安国 朱天瑞 蔡玉敏 《中国肛肠病杂志》 2010年第11期56-57,共2页
为了解肛肠疾病的发病率,探讨肛肠疾病的早期防治方法,对本市市直单位在职职工健康体检中2200名自愿进行肛肠健康体检者,采取肛门直肠指诊和一次性肛门镜检查。结果发现成人肛肠疾病的发病率高达84%。其中直肠息肉及腺瘤检出率为5.... 为了解肛肠疾病的发病率,探讨肛肠疾病的早期防治方法,对本市市直单位在职职工健康体检中2200名自愿进行肛肠健康体检者,采取肛门直肠指诊和一次性肛门镜检查。结果发现成人肛肠疾病的发病率高达84%。其中直肠息肉及腺瘤检出率为5.8%,大肠癌检出率为0.1%。痔等其他疾病为78.1%。结果表明,将直肠、肛门检查列入常规健康体检项目很有必要,对肛肠疾病的早期防治有极其重要的意义。 展开更多
关键词 肛肠疾病 直肠指诊 肛门镜检查 筛查报告
便血患者指诊和镜检诊断结果比较
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作者 林国强 蔡丽群 《中国肛肠病杂志》 2007年第3期46-47,共2页
为比较便血患者肛门直肠指诊与肛门镜检查结果,对200例便血患者同时进行指诊和镜检。结果显示,血迹:指诊检出率34%(68/200),镜检89%(178/200)(P〈0.005);内痔或混合痔的内痔部分:指诊检出率11.8%(18/152),镜检10... 为比较便血患者肛门直肠指诊与肛门镜检查结果,对200例便血患者同时进行指诊和镜检。结果显示,血迹:指诊检出率34%(68/200),镜检89%(178/200)(P〈0.005);内痔或混合痔的内痔部分:指诊检出率11.8%(18/152),镜检100%(152/152)(P〈0.005);肛裂:指诊检出率100%(52/52),镜检100%(52/52);直肠肿瘤或息肉:指诊检出率100%(7/7),镜检28.6%(2/7)。结果表明,镜检对血迹检出率明显高于指诊检出率,对内痔或混合痔的内痔部分的检出率也明显高于指诊检出率,对质地偏中上的肿物如直肠肿瘤或息肉,指诊检出率优于镜检。所以对便血的患者不要仅满足指诊的结果,必须结合镜检,各取所长,以防遗漏。 展开更多
关键词 便血 肛门直肠指诊 肛门镜检查
Anal cancer and intraepithelial neoplasia screening: Areview 预览
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作者 Ira L Leeds Sandy H Fang 《世界胃肠外科杂志:英文版(电子版)》 2016年第1期41-51,共11页
This review focuses on the early diagnosis of anal cancer and its precursor lesions through routine screening. Anumber of risk-stratification strategies as well as screeningtechniques have been suggested, and currentl... This review focuses on the early diagnosis of anal cancer and its precursor lesions through routine screening. Anumber of risk-stratification strategies as well as screeningtechniques have been suggested, and currently littleconsensus exists among national societies. Much ofthe current clinical rationale for the prevention of analcancer derives from the similar tumor biology of cervicalcancer and the successful use of routine screening toidentify cervical cancer and its precursors early in thedisease process. It is thought that such a strategy ofidentifying early anal intraepithelial neoplasia will reducethe incidence of invasive anal cancer. The low prevalenceof anal cancer in the general population prevents theuse of routine screening. However, routine screeningof selected populations has been shown to be a morepromising strategy. Potential screening modalities includedigital anorectal exam, anal Papanicolaou testing, humanpapilloma virus co-testing, and high-resolution anoscopy.Additional research associating high-grade dysplasiatreatment with anal cancer prevention as well as directcomparisons of screening regimens is necessary todevelop further anal cancer screening recommendations. 展开更多
关键词 ANAL CANCER SECONDARY PREVENTION AnalPapanicolaou test HIGH-RESOLUTION anoscopy SCREENING
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High-resolution anoscopy:Unchartered territory for gastroenterologists? 预览
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作者 Andreia Albuquerque 《世界胃肠内镜杂志:英文版(电子版)》 2015年第13期1083-1087,共5页
High-resolution anoscopy(HRA) is a procedure where patients with an increased risk of anal cancer, like men who have sex with men, human immunodeficiency virus infected individuals, transplant patients and women with ... High-resolution anoscopy(HRA) is a procedure where patients with an increased risk of anal cancer, like men who have sex with men, human immunodeficiency virus infected individuals, transplant patients and women with a history of lower genital tract neoplasia, with abnormal anal cytology results, are submitted to anal and perianal visualization under magnification. This willallow for a better detection of anal high-grade lesions that can be treated, in an effort to prevent anal cancer. Anal cancer screening follows the same principles that cervical cancer screening. During this procedure, an anoscope is inserted and a colposcope is used to examine systematically the squamocolumnar junction, the transformation zone and the perianal skin. Initially the observation is done with no staining and then with the application of acetic acid and Lugol’s iodine solution, allowing for better lesion identification and characterization. Any suspicious lesion seen should be carefully evaluated and biopsied. Without HRA only a small percentage of suspicious lesions are identified. High-grade lesions that are detected can be ablated under HRA. This is a challenging exam to perform, with a long learning curve and the number of clinicians performing it is limited, although the growing number of patients that need to been screened. Specific equipment is required, with these patients ideally been followed by a multidisciplinary team, in a reference centre. HRA remains unfamiliar for many gastroenterologists. 展开更多
关键词 HIGH-RESOLUTION ANOSCOPY ANAL CYTOLOGY HIGH-GRADE
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肛瘘内口探寻方法概述 被引量:1
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作者 冯文哲 石鹏 雷彪 《河南中医》 2015年第11期2765-2766,共2页
常用肛瘘内口的探寻方法有:指诊法,肛镜检查染色法,探针检查法,挤压法,牵拉法,瘘管切开检查法,直肠腔内超声检查法,x线造影法,CT/MRI检查法等,肛瘘患者除非术中镜下见到内口溢脓或者是管道特别通畅,一般情况下单一的探寻方... 常用肛瘘内口的探寻方法有:指诊法,肛镜检查染色法,探针检查法,挤压法,牵拉法,瘘管切开检查法,直肠腔内超声检查法,x线造影法,CT/MRI检查法等,肛瘘患者除非术中镜下见到内口溢脓或者是管道特别通畅,一般情况下单一的探寻方法,无论是在术前还是术中判定内口的位置和瘘管的走行、分布均有一定的困难,特别是对于复杂性肛瘘患者,必须多种探寻方法综合应用,才能为手术的成功提供保障。 展开更多
关键词 肛瘘 指诊法 肛镜检查染色法 探针检查法 挤压法 牵拉法 瘘管切开检查法 直肠腔内超声检查法 X线造影法 CT/MRI检查法
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