论文部分内容阅读
目的 :评价肠镜对放射性直肠炎的诊断价值。方法 :对 1986年～ 2 0 0 0年 5月我院患盆腔、腹腔肿瘤并经放射治疗后 ,通过肠镜检查诊断为放射性直肠炎的 16例患者进行回顾性分析。结果 :16例患者均为因直肠癌、宫颈癌、膀胱癌、前列腺癌或结肠癌接受放射治疗者 ,经肠镜检查诊断为放射性直肠炎、其中有 1例乙状结肠同时受累。以便血为主要症状 ,发病时间为放疗后 6个月～ 6年 ,以 1年左右居多 ,平均年龄 6 4.2岁 ,男女之比为 1∶1。照射剂量为 30～ 6 0Gy ,时间均在 5周以上。按Sherman分级 ,Ⅰ级 9例 ,Ⅱ级 4例 ,Ⅲ级 3例 ,Ⅳ级 0例 ,以Ⅰ级最多见。其中 4例经过数次检查随访。有 9例患者曾行结肠钡灌肠检查 ,6例无异常发现 ,2例有溃疡 ,1例溃疡合并狭窄。结论 :肠镜是诊断放射性直肠炎的重要手段 ,较之X线检查 ,它具有安全准确、便于随访的特点
Objective: To evaluate the value of colonoscopy in the diagnosis of radiation proctitis. Methods: A retrospective analysis of 16 patients with pelvic and peritoneal tumors in our hospital from May 1986 to February 2000 after radiotherapy and colonoscopy diagnosed as radiation proctitis was performed. Results: All 16 patients underwent radiotherapy for colon cancer of the rectum, cervical cancer, bladder cancer, prostate cancer or colon cancer. The patients underwent colonoscopy to diagnose radiation proctitis, of which 1 sigmoid colon was involved. In order to blood as the main symptom, the onset time is 6 months after radiotherapy to 6 years, mostly about 1 year, with an average age of 6 4.2 years, the ratio of male to female is 1: 1. Exposure dose of 30 ~ 60Gy, time in more than 5 weeks. According to Sherman classification, grade Ⅰ in 9 cases, Ⅱ grade in 4 cases, Ⅲ grade in 3 cases, Ⅳ grade in 0 cases, the most common in grade Ⅰ. Among them, 4 cases were followed up for several times. There were 9 patients who underwent colon-barium enema examination, 6 had no abnormal findings, 2 had ulcers and 1 had ulceration with stenosis. Conclusion: Enteroscopy is an important method to diagnose radiation proctitis. Compared with X-ray examination, it is safe, accurate and easy to follow up