m5k1umn 发表于 2024-6-25 08:26:14

初期直肠癌的检测办法有哪些?


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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/bvpCj9Rusr1CmPMbxVnjTj1nv6N25aXOiaybOOTOianrCdtpMOw7CrwRaseOstjGiaUlVR3uiaPVxnYQkns81Qyhqg/640?wx_fmt=jpeg&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">去普通外科或肛肠科就诊,<span style="color: black;">医生</span>很大可能对<span style="color: black;">有些</span>就诊的<span style="color: black;">病人</span>进行直肠指检<span style="color: black;">检测</span>,<span style="color: black;">直肠指检对及早<span style="color: black;">发掘</span>肛管、直肠癌<span style="color: black;">道理</span>重大,可使约75%的<span style="color: black;">初期</span>直肠癌得到确诊,避免因误诊为痔、肠炎、慢性痢疾等<span style="color: black;">疾患</span>而延误治疗。</span>但有<span style="color: black;">非常多</span><span style="color: black;">病人</span><span style="color: black;">由于</span>羞于暴露隐私部位而不愿意接受直肠指检。<span style="color: black;">引起</span><span style="color: black;">有些</span><span style="color: black;">疾患</span>的延迟<span style="color: black;">发掘</span>。</span><strong style="color: blue;">何为直肠指检</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">直肠指检又<span style="color: black;">叫作</span>“肛诊”。</span>&nbsp;直肠指检<span style="color: black;">重点</span>是<span style="color: black;">检测</span>肛门和直肠下端<span style="color: black;">是不是</span>有<span style="color: black;">反常</span><span style="color: black;">状况</span>。</span></strong></p><span style="color: black;"><span style="color: black;">首要</span>是<span style="color: black;">检测</span>肛门和直肠,<span style="color: black;">瞧瞧</span>有<span style="color: black;">无</span>异物<span style="color: black;">或</span>是肿块,有<span style="color: black;">无</span>粘膜脱垂的<span style="color: black;">状况</span>,<span style="color: black;">或</span>是直肠前突的<span style="color: black;">状况</span><span style="color: black;">能够</span>摸到<span style="color: black;">是不是</span>有痔疮,肛乳头瘤,直肠息肉等<span style="color: black;">状况</span>,还<span style="color: black;">能够</span><span style="color: black;">认识</span>一下肛门括约肌的功能,<span style="color: black;">况且</span>直肠指检还能查一下周边的器官,<span style="color: black;">例如</span>女子子宫颈,男性的前列腺,还有骶尾部<span style="color: black;">是不是</span>有<span style="color: black;">反常</span><span style="color: black;">状况</span>。</span><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7qcegMX5NR3Y1AGZ2MsytZWYWjXCiaESu7VyH6O6M4Thmbnjh5atSuAwFcgXmTjL7c2Iad84tUv4xmyicwNUBG4Q/640?wx_fmt=jpeg&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></span><span style="color: black;">用食指由肛门伸入直肠的<span style="color: black;">检测</span><span style="color: black;">办法</span>。即<span style="color: black;">检测</span>者戴手套或指套,涂适量润滑油,先用探查的示指轻轻地按摩肛门口,待肛门括约肌放松后,再将探查手指徐徐<span style="color: black;">插进</span>肛门,触摸肛门口及直肠壁,有指征时再进行双合诊。此种<span style="color: black;">检测</span>法简便易行,不仅对肛门、直肠的局部病变<span style="color: black;">拥有</span><span style="color: black;">要紧</span>诊断价值,<span style="color: black;">况且</span>对诊断盆腔<span style="color: black;">疾患</span>(如阑尾炎、髂窝脓肿、前列腺和精囊病变、子宫和输卵管病变等)<span style="color: black;">亦</span>是一项不可缺少的<span style="color: black;">检测</span><span style="color: black;">办法</span>。</span><strong style="color: blue;">直肠指检的价值</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">1.<span style="color: black;">能够</span><span style="color: black;">发掘</span>痔疮</span></strong></span></p><span style="color: black;">痔疮<span style="color: black;">非常多</span>时候容易掩盖结直肠癌的<span style="color: black;">初期</span>症状,<span style="color: black;">倘若</span>能<span style="color: black;">即时</span><span style="color: black;">发掘</span>并处理,<span style="color: black;">能够</span>减少误诊。内痔多较柔软而<span style="color: black;">很难</span>扪及,如有血栓形成,可扪及硬结,有时可有<span style="color: black;">流血</span>,触痛等。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2.<span style="color: black;">能够</span><span style="color: black;">发掘</span>肛瘘</span></strong></span><span style="color: black;">沿瘘外口向肛门<span style="color: black;">外边</span>延伸,双指合诊常可扪及条索状物或瘘内口出口小硬结。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">3.<span style="color: black;">能够</span><span style="color: black;">发掘</span>直肠息肉</span></strong></span><span style="color: black;">直肠壁可扪及质软可推动的圆形肿块,多发息肉则可扪及多个<span style="color: black;">体积</span>不一的质软肿块,移动度大的息肉多可扪及蒂部。腺瘤样息肉<span style="color: black;">能够</span><span style="color: black;">出现</span>癌变,<span style="color: black;">倘若</span>能<span style="color: black;">即时</span><span style="color: black;">发掘</span>并切除,避免息肉<span style="color: black;">发展</span>为癌症。</span><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7qcegMX5NR3sVK4Wojic7vt0ibxnO0icDDAD7b3XVd2X14fnCeqUGosmblTQFzFIgZDx2qOzyviaHwRtnwiccoboHxw/640?wx_fmt=jpeg&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">4.<span style="color: black;">能够</span>及早发肛管癌、直肠癌</span></strong></span><span style="color: black;"><span style="color: black;">实质</span>上直肠指诊是临床上简单而<span style="color: black;">要紧</span>的<span style="color: black;">检测</span><span style="color: black;">办法</span>,不仅是诊断痔、肛瘘、直肠息肉等<span style="color: black;">平常</span>病变的<span style="color: black;">要紧</span><span style="color: black;">检测</span>手段,更对及早<span style="color: black;">发掘</span>肛管、直肠癌<span style="color: black;">道理</span>重大。85%的直肠癌延误诊断是<span style="color: black;">由于</span>未做指诊!</span><strong style="color: blue;"><span style="color: black;">手指在肛管或</span></strong><strong style="color: blue;"><span style="color: black;">食</span></strong><strong style="color: blue;"><span style="color: black;">指可及的直肠内壁扪及高低不平的肿块、溃疡或菜<span style="color: black;">花招</span>肿物,肠腔可有狭窄,指套上常有脓血和黏液。常常预示着肛管癌或直肠癌。</span></strong><strong style="color: blue;"><span style="color: black;">据统计70%<span style="color: black;">上下</span>的直肠癌可在直肠指诊时被<span style="color: black;">发掘</span>,而85%的直肠癌延误诊断病例是<span style="color: black;">由于</span>未做直肠指诊。</span></strong><span style="color: black;">这种诊断<span style="color: black;">办法</span>简单可行,经过直肠指检还<span style="color: black;">能够</span>判断扪及肿块的<span style="color: black;">体积</span>和浸润程度,<span style="color: black;">是不是</span>固定,有<span style="color: black;">没</span>肠壁外、盆腔内种植性肿块等。</span><span style="color: black;">当然,除此之外,直肠指诊还<span style="color: black;">能够</span><span style="color: black;">发掘</span><span style="color: black;">有些</span>直肠肛管<span style="color: black;">疾患</span>外的<span style="color: black;">疾患</span>,<span style="color: black;">例如</span>:前列腺炎,盆腔脓肿,急性附件炎,骶前肿瘤等;如在直肠膀胱陷凹或直肠子宫陷凹触及硬结,应<span style="color: black;">思虑</span>腹腔内肿瘤的种植转移。</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/SJOVxc2pBiajroeLCssKhZEBdqRibMWZwPTcFFmBXHMTzlONlsr5bR4sO7WQDqeAYWIiako5s6nFTDQDiadntIXEPQ/640?wx_fmt=png&amp;from=appmsg&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">健康直通车丨点击下方</span><span style="color: black;"><strong style="color: blue;">“阅读原文”</strong></span><span style="color: black;">在线咨询胃肠及肛肠问题</span></span></p>




m5k1umn 发表于 2024-10-2 08:34:14

楼主节操掉了,还不快捡起来!

m5k1umn 发表于 2024-11-1 07:46:46

感谢楼主分享,祝愿外链论坛越办越好!
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