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结肠息肉和癌:同一患者单对比与双对比检查的前瞻性比较

Colon polyps and carcinomas: prospective comparison of the single- and double-contrast examination in the same patients.

作者信息

de Roos A, Hermans J, Shaw P C, Kroon H

出版信息

Radiology. 1985 Jan;154(1):11-3. doi: 10.1148/radiology.154.1.3964926.

DOI:10.1148/radiology.154.1.3964926
PMID:3964926
Abstract

Single-contrast (SC) and double-contrast (DC) colon examinations were compared in 425 consecutive patients for detection of polyps and stricturing carcinomas. Each patient was examined with both SC and DC during the same session. In patients with carcinoma, there was no significant difference between the two modalities. DC was far superior to SC for detection of rectal or colonic polyps (p less than 0.05); however, the techniques appeared to be complementary in the sigmoid and cecum. The authors conclude that DC is superior to SC as a means of screening for polyps of the rectum and colon, with SC being useful as an adjunct in problem areas such as the sigmoid and cecum.

摘要

对425例连续患者进行了单对比(SC)和双对比(DC)结肠检查,以检测息肉和狭窄性癌。每位患者在同一次检查中同时接受了SC和DC检查。在患有癌症的患者中,两种检查方式之间没有显著差异。DC在检测直肠或结肠息肉方面远优于SC(p<0.05);然而,在乙状结肠和盲肠,这两种技术似乎具有互补性。作者得出结论,作为直肠和结肠息肉的筛查手段,DC优于SC,而SC在乙状结肠和盲肠等问题区域作为辅助手段很有用。

相似文献

1
Colon polyps and carcinomas: prospective comparison of the single- and double-contrast examination in the same patients.结肠息肉和癌:同一患者单对比与双对比检查的前瞻性比较
Radiology. 1985 Jan;154(1):11-3. doi: 10.1148/radiology.154.1.3964926.
2
Double-contrast barium-enema examination and endoscopy in the detection of polypoid lesions in the cecum and ascending colon.双重对比钡灌肠检查和内镜检查在盲肠和升结肠息肉样病变检测中的应用
Radiology. 1982 Jul;144(2):257-60. doi: 10.1148/radiology.144.2.7089277.
3
[Results of double-contrast examination of the colon].[结肠双对比造影检查结果]
Radiologe. 1983 Jul;23(7):304-11.
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Polypoid lesions of the sigmoid colon: a comparison of single-contrast, double-contrast, and biphasic examinations.
Radiology. 1984 Jun;151(3):597-9. doi: 10.1148/radiology.151.3.6718713.
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Barium enema examination: sensitivity in detecting colonic polyps and carcinomas.
South Med J. 1989 Feb;82(2):197-200.
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The radiological demonstraction of colorectal polyps undetected by endoscopy.内镜检查未发现的大肠息肉的放射学表现。
Gastroenterology. 1976 Feb;70(2):167-70.
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Comparison of barium enema nad colonoscopy in the detection of small colonic polyps.钡灌肠与结肠镜检查在检测小的结肠息肉方面的比较。
Radiology. 1977 Sep;124(3):631-5. doi: 10.1148/124.3.631.
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[Technical restatement about double contrast enema (author's transl)].[关于双重对比灌肠的技术重述(作者译)]
J Radiol Electrol Med Nucl. 1978 Aug-Sep;53(8-9):513-7.
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Colon cancer: morphology detected with barium enema examination versus histopathologic stage.结肠癌:钡灌肠检查所检测到的形态与组织病理学分期
Radiology. 1995 Dec;197(3):683-7. doi: 10.1148/radiology.197.3.7480739.
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[Double-contrast radiologic examination of the colon and rectum].[结肠和直肠的双重对比放射学检查]
Schweiz Med Wochenschr. 1978 Jul 15;108(28):1062-6.

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The evaluation of rectal bleeding in adults. A cost-effectiveness analysis comparing four diagnostic strategies.成人直肠出血的评估。一项比较四种诊断策略的成本效益分析。
J Gen Intern Med. 2005 Jan;20(1):81-90. doi: 10.1111/j.1525-1497.2005.40077.x.
2
Colorectal carcinomas: diagnostic implications of their changing frequency and anatomic distribution.结直肠癌:其发病率变化及解剖分布的诊断意义
World J Surg. 1989 May-Jun;13(3):321-4; discussion 324-5. doi: 10.1007/BF01659046.
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Colonoscopically detected colorectal cancer missed on barium enema.
Gastrointest Radiol. 1991 Spring;16(2):123-7. doi: 10.1007/BF01887325.