Autor: |
A A, Tikhonov, P V, Tsar'kov, A M, Kuz'minov, A P, Zhuchenko, T L, Mikhaĭlova, N N, Poletov |
Rok vydání: |
2005 |
Předmět: |
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Zdroj: |
Vestnik rentgenologii i radiologii. (4) |
ISSN: |
0042-4676 |
Popis: |
The misdiagnosis rate in defining the cause of obstructive colonic disease is 8.2-24.4%. This is consistent with the fact that every 5 patients with colonic obstruction present difficulties in establishing the nature of a pathological process. The paper provides the results of analysis of clinical and X-ray symptoms in 350 patients with difficult differentially diagnosed cases of narrowing of the rectum and colon. Based on the analysis, the authors identified the basically important X-ray signs that might differentiate tumor stenoses from other obstructive diseases. They also defined the specific X-ray signs of such diseases as infiltrative cancer; extraintestinal cancer involved in the large bowel; inflammatory strictures in ulcerative colitis, diverticulosis, actinomycosis, tuberculosis, intestinal endometriosis, invagination, and other obstructive diseases. The developed differentiated diagnostic criteria could enhance the overall accuracy of X-ray study in this difficult group of patients from 72.7-80% to 93%. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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