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首页> 外文期刊>Diagnostic and therapeutic endoscopy >The Efficacy of the EUS for the Detection of Recurrent Disease in the Anastomosis of Colon
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The Efficacy of the EUS for the Detection of Recurrent Disease in the Anastomosis of Colon

机译：超声内镜检查在结肠吻合术中复发性疾病的功效

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Patients who underwent surgical resection of an advanced colorectalcancer during the period from June 1982 to July 2001 were examinedfor evidence of no anastomotic recurrence or recurrent lesionsthrough combination of endoscopic ultrasonography (EUS) withendoscopy. Included in this study were 11 patients withrecurrence and 36 patients without recurrence, 47 patients in all.Endoscopy revealed stenosis in 81.8% of patients with ana anastomotic recurrence,erosion including cancer exposure in 81.8% and submucosal tumor-like elevation in 45.5%. In the group of patients without recurrence it revealed stenosis in 13.9% of patients, erosion in 22.2%, and a scar-like change in 77.8%. There was a significant difference between the two groups in each change. EUS, on the other hand, revealed localized hypertrophy of the region extending from the submucosa to the mp due to edema early in thepostoperative course. The rate of definitive diagnosis with EUS was 100%, compared to 90.1% for endoscopy. The results of this study indicate that EUS is helpful in detectinganastomotic recurrence of colorectal cancer.
机译：1982年6月至2001年7月期间接受手术切除的晚期大肠癌患者通过内镜超声检查（EUS）与内窥镜检查相结合，以检查是否有吻合口复发或复发的迹象。这项研究包括11例复发患者和36例无复发患者，共47例。内镜检查显示吻合口吻合术后复发的狭窄率为81.8％，糜烂包括癌暴露的比例为81.8％，粘膜下肿瘤样升高为45.5％。在无复发的患者组中，狭窄的占13.9％，糜烂的占22.2％，瘢痕样变化的占77.8％。两组之间的每次更改都存在显着差异。另一方面，由于在术后病程早期水肿，EUS显示从粘膜下层到mp区域的局部肥大。 EUS的明确诊断率为100％，而内窥镜检查为90.1％。这项研究的结果表明，超声内镜有助于检测结直肠癌的肛门直肠癌复发。

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