...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of colorectal disease. >Intraoperative ultrasonography: a tool for localizing small colonic polyps.
【24h】

Intraoperative ultrasonography: a tool for localizing small colonic polyps.

机译：术中超声检查：一种定位小结肠息肉的工具。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND AND AIMS: Small colonic polyps are difficult to palpate and thus difficult to localize during surgery. Preoperative injection of dyes and "on-the-table colonoscopy" are some of the methods used to allow the surgeon to find the polyps. The aim of the present study was to evaluate the value of intraoperative ultrasound as a tool that may allow detection of small colonic polyps during surgery. RESULTS: The study population consisted of nine consecutive patients referred to surgery for polyps of the large bowel that were not amenable to endoscopic removal. At surgery, the colon was filled with saline and than scanned by linear ultrasound probe. In 8 out of 9 patients, intraoperative ultrasound successfully detected all polyps, even those smaller than 0.5 cm. In one patient with two polyps, one in the right colon was easily localized, but a second flat, 0.4-cm tubular adenoma at the splenic flexure was missed. In three patients, intraoperative ultrasound showed penetration into the muscular coat.These polyps were found on pathology to be invasive cancer. CONCLUSION: Intraoperative ultrasound makes it possible for surgeons to easily localize small nonpalpable polyps of the large bowel. Furthermore, it can determine the aggressive potential of these lesions with great accuracy.
机译：背景与目的：小结肠息肉难以触诊，因此难以在手术中定位。术前注射染料和“现场结肠镜检查”是使外科医生发现息肉的一些方法。本研究的目的是评估术中超声作为一种工具的价值，该工具可以在手术过程中检测出小的结肠息肉。结果：该研究人群由九名连续手术患者组成，这些患者因不适合内窥镜切除的大肠息肉而接受手术治疗。手术时，结肠充满盐水，然后用线性超声探头扫描。 9例患者中有8例术中超声成功检测出所有息肉，甚至小于0.5 cm的息肉。在一名有两个息肉的患者中，一个在右结肠很容易定位，但遗漏了第二个在脾弯曲处扁平的，0.4厘米的管状腺瘤。在三名患者中，术中超声显示其渗透到了肌层中，这些息肉在病理上被发现是浸润性癌症。结论：术中超声使外科医生可以轻松地定位大肠的不可触及的小息肉。此外，它可以非常准确地确定这些病变的侵袭潜力。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号