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先天性巨结肠:评估直肠吸引活检标本中组织化学显示的乙酰胆碱酯酶活性对诊断的辅助作用。

Hirschsprung's disease: an appraisal of histochemically demonstrated acetylcholinesterase activity in suction rectal biopsy specimens as an aid to diagnosis.

作者信息

Lake B D, Puri P, Nixon H H, Claireaux A E

出版信息

Arch Pathol Lab Med. 1978 May;102(5):244-7.

PMID:580561
Abstract

Suction rectal biopsy specimens, from a series of 168 infants and children with constipation and other gastrointestinal problems, were stained with a sensitive acetylcholinesterase method, and the results were compared with routine histology, radiology, anorectal manometry, and the final diagnosis. In all cases of Hirschsprung's disease, there was an increase in numbers and sizes of cholinergic nerves in the lamina propria and muscularis mucosae. No false-positive or false-negative results were found. The test was found to be more reliable and consistent than other methods available.

摘要

对168例患有便秘及其他胃肠道问题的婴幼儿和儿童的直肠活检抽吸标本,采用一种灵敏的乙酰胆碱酯酶方法进行染色,并将结果与常规组织学、放射学、肛门直肠测压法以及最终诊断结果进行比较。在所有先天性巨结肠病例中,固有层和黏膜肌层中胆碱能神经的数量和大小均增加。未发现假阳性或假阴性结果。该检测方法比其他现有方法更可靠、更一致。

相似文献

1
Hirschsprung's disease: an appraisal of histochemically demonstrated acetylcholinesterase activity in suction rectal biopsy specimens as an aid to diagnosis.先天性巨结肠:评估直肠吸引活检标本中组织化学显示的乙酰胆碱酯酶活性对诊断的辅助作用。
Arch Pathol Lab Med. 1978 May;102(5):244-7.
2
[Acetylcholinesterase activity in suction rectal biopsies. An appraisal of its value in the diagnosis of Hirschsprung's disease (author's transl)].[直肠吸引活检中的乙酰胆碱酯酶活性。对其在先天性巨结肠症诊断中价值的评估(作者译)]
Arch Fr Pediatr. 1981 Feb;38(2):91-5.
3
Histochemical criteria for the diagnosis of Hirschsprung's disease in rectal suction biopsies by acetylcholinesterase activity.通过乙酰胆碱酯酶活性对直肠吸引活检中先天性巨结肠病进行诊断的组织化学标准。
J Pediatr Surg. 1977 Oct;12(5):675-80. doi: 10.1016/0022-3468(77)90392-x.
4
Histochemical confirmation of the acetylcholinesterase-activity in rectal suction biopsy from neonates with Hirschsprung's disease.先天性巨结肠症新生儿直肠吸引活检中乙酰胆碱酯酶活性的组织化学确认。
Z Kinderchir. 1984 Aug;39(4):246-9. doi: 10.1055/s-2008-1044217.
5
[Value of the histoenzymologic characterization of esterases in normal and pathologic rectal mucosa in children. Preliminary results of 30 cases].[儿童正常及病理直肠黏膜中酯酶的组织酶学特征的价值。30例初步结果]
C R Seances Soc Biol Fil. 1980;174(3):344-6.
6
[Histochemical demonstration of acetylcholinesterase activity applied to the study of human biopsies. I. Rectal suction biopsy in the diagnosis of congenital megacolon].[应用于人体活检研究的乙酰胆碱酯酶活性的组织化学显示。I. 直肠吸引活检在先天性巨结肠诊断中的应用]
An Esp Pediatr. 1978 May;11(5):401-10.
7
Acetylthiocholinesterase staining activity of rectal mucosa. Its use in the diagnosis of Hirschsprung's disease.直肠黏膜的乙酰硫代胆碱酯酶染色活性。其在先天性巨结肠症诊断中的应用。
Arch Pathol Lab Med. 1982 Dec;106(13):670-2.
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Manometry and histochemistry in the diagnosis of Hirschsprung's disease.
Pediatrics. 1979 Jun;63(6):865-71.
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[The diagnosis of Hirschsprung's disease through histochemical investigation of rectal mucosa obtained by suction biopsy (author's transl)].
Lijec Vjesn. 1981 Jan;103(1):10-2.
10
Acetylcholinesterase histochemistry of rectal suction biopsies in the diagnosis of Hirschsprung's disease.直肠吸引活检的乙酰胆碱酯酶组织化学在先天性巨结肠症诊断中的应用
J Korean Med Sci. 1992 Dec;7(4):353-9. doi: 10.3346/jkms.1992.7.4.353.

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Pediatr Surg Int. 2017 Mar;33(3):285-298. doi: 10.1007/s00383-016-4038-3. Epub 2016 Dec 17.
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Rectal mucosal/submucosal biopsy under general anesthesia ensures optimum diagnosis of bowel motility disorders.全身麻醉下进行直肠黏膜/黏膜下层活检可确保对肠道动力障碍做出最佳诊断。
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Current practice patterns of rectal suction biopsy in the diagnostic work-up of Hirschsprung's disease: results from an international survey.
先天性巨结肠症诊断检查中直肠吸引活检的当前实践模式:一项国际调查结果
Pediatr Surg Int. 2016 Aug;32(8):717-22. doi: 10.1007/s00383-016-3907-0. Epub 2016 Jun 27.
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Hirschsprung's Disease in Neonates with Special Reference to Calretinin Immunohistochemistry.新生儿先天性巨结肠病——特别提及钙视网膜蛋白免疫组织化学
J Clin Diagn Res. 2015 Jul;9(7):EC06-9. doi: 10.7860/JCDR/2015/12470.6180. Epub 2015 Jul 1.
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Rectal suction biopsy for the diagnosis of Hirschsprung's disease: a systematic review of diagnostic accuracy and complications.直肠吸引活检诊断先天性巨结肠病:诊断准确性和并发症的系统评价
Pediatr Surg Int. 2015 Sep;31(9):821-30. doi: 10.1007/s00383-015-3742-8. Epub 2015 Jul 9.
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Pediatr Surg Int. 2013 Sep;29(9):855-72. doi: 10.1007/s00383-013-3351-3.
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