直肠指检

结论：直肠指检和直肠镜检简便、易行、安全，是诊断早期直肠癌的一项最重要的方法。

Conclusions : Rectal palpation and proctoscopy is simple , feasible and safe , it is most important way to diagnosis early rectal carcinoma .

1例作直肠指检、CT与超声检查。

Case underwent digital rectal examination , CT and transrectal ultrasound .

直肠指检配合病理活检是发现B期病人的重要手段。

While rectal digital examination with proper biopsy is best in the diagnosis of stage B lesion .

常规直肠指检很必要，超声、CT有利于明确诊断。

Routine digital rectal examination ( DRE ) is necessary and ultrasonography and CT scan are helpful to diagnosis .

PSA就是一种比直肠指检更精确的检测方法。

The PSA is an even more accurate test than the digital rectal exam .

直肠指检对PSA、F-PSA影响的研究

The effect of digital rectal examination on PSA and F-PSA levels

现有筛查手段为联合血清前列腺特异性抗原（SA）定和直肠指检。

Current methods of screening involve the measurement of serum prostate-specific antigen ( PSA ) and digital rectal examination followed by biopsy .

PSA检测和直肠指检时常用的前列腺癌早期筛查方法，但存在着诸多的盲区。

PSA testing and digital rectal examination are the commonly used methods of early screening for prostate cancer , but there are many blind spots .

前列腺特异抗原（PSA）筛查和直肠指检对于前列腺癌死亡率的影响尚无结论。

Background The effect of screening with prostate-specific – antigen ( PSA ) testing and digital rectal examination on the rate of death from prostate cancer is unknown .

如PSA在4～10ng／ml之间，可结合直肠指检或其他检查决定是否行穿刺活检。

Within an intermediate range of PSA ( 4 ~ 10ng / ml ), biopsy could be decided by digital rectal examination and / or transrectal ultrasonography .

肛门直肠指检力排时肛门括约肌反向性收缩和ARM力排时肛门括约肌压力反相性升高对判断有无出口梗阻很有意义（P0.001）；

Paradoxical anal sphincteric contraction in digital rectal examination and paradoxical anal sphincteric pressure rising in ARM during straining might be valuable in judging the presence of outlet obstruction ( P0.001 ) .

方法1988～1998年收治130例前列腺癌病人，分别通过直肠指检（DRE）、前列腺抗原（PSA）、前列腺穿刺活检、B超、CT、ECT、MR、膀胱镜检查等明确诊断。

Methods 130 cases of prostatic cancer were diagnosed by digital rectal examination ( DRE ), serum prostatic antigen ( PSA ), transrectal echography of prostate ( TRUS ), prostatic biopsy , CT , ECT , MR and cystoscopy .

方法：对连续入选的210例慢性便秘患者通过病史采集、肛门直肠指检、胃肠传输试验（GITT）和肛门直肠测压（ARM）判断其动力障碍类型。

Methods : Two hundred and ten consecutive patients with chronic constipation were investigated by history , digital rectal examination , gastrointestinal transit test ( GITT ) and anorectal manometry ( ARM ) to determine the patterns of motor dysfunction .

结果较准确的早期诊断方法为直肠指检（DRE）、血清前列腺特异抗原（PSA）、经直肠前列腺B超（TRUS）、经直肠前列腺活检，阳性率分别为83%、82%、76%、73%。

Results The exact methods of early diagnosis were digital rectal examination ( DRE ), prostatic specific antigen ( PSA ), transrectal ultrasonography ( TRUS ) and transrectal prostate aspiration biopsy , and the positive rate was 83 % , 82 % , 76 % , and 73 % respectively .

直肠指检的诊断正确率仅为52.5%。

The accuracy rate was only 52.5 % by digital examination .

直肠指检对前列腺良恶性疾病血清前列腺特异抗原的影响

The effect of digital rectal examination on PSA in benign and malignant prostatic diseases

直肠指检和导尿术对前列腺特异性抗原检测结果的影响

The effects of digital rectal examination and urethral catheterization on the concentration of serum prostate specific antigen

在直肠指检过程中，医生会用戴着手套的手指插入到患者直肠来感觉是否有异常增长。

During digital examination of the rectum , the doctor inserts a gloved finger into the rectum to feel for abnormal growths .

很多男性怕做直肠指检，该项检查可以检测到前列腺的异常。

Many men are wary of doing the digital rectal exam , which can be used to detect abnormalities in the prostate gland .

结论：对直肠癌缺乏警惕、对本病认识不足、不重视直肠指检及忽视辅助检查是造成误诊的主要原因。

Conclusion : Lack of the knowledge of rectal carcinoma and neglecting rectal digital examination and auxiliary exploration were the main reasons of misdiagnosis .

10例首发症状进行性排尿因难，血尿1例；所有患者直肠指检发现前列腺巨大质软。

Dysuria is the first symptom in 10 and hematuria is the first symptom in 1 . Large prostate is found in all patients in physical examination .

直肠指检诊断为前列腺癌的肥胖男性无此关联，直肠指检中可感觉到异常大的前列腺。

No such association was found for obese men diagnosed by a digital rectal examination , in which the physician feels for an abnormally large prostate gland .

原则上建议每个人在40岁以后每年都进行一次直肠指检及粪便潜血检测，来检测隐藏或“藏匿”的血液。

It is recommended that all individuals over the age of40 have yearly digital examinations of the rectum and their stool tested for hidden or " occult " blood .

结论重视直肠指检、医务人员提高警惕性、扩大结肠镜检查范围均可达到早诊断目的。

Conclusion : It is important to look out for early diagnosis of this disease and to give serious attention of digital examination of rectum or expand the coverage of colonoscopy .

本文分析直肠癌根治术45例，其中青壮年患者所占比例高达67%，84%的患者病灶位于腹膜返折以下，很易被直肠指检所触及。

45 cases of rectal carcinoma with radical excision were analysed . of these patients , 67 % were young adults and middle-aged subjects . 84 % of the rectal lesions were located below the pelvic peritoneal reflex .

结果：直肠癌术后局部复发75%（15/20例），临床表现为骶神经丛刺激症状。仅30%（6/20例），直肠和阴道指检有阳性发现。

Results : Among the 20 patients , symptoms of sacral nerves plexus irritation occurred in 75 % ( 15 / 20 ) and evidence of positive rectal and vaginal examination only in 30 % ( 6 / 20 ) .