直肠指检
- 网络Digital rectal examination;dre;palpation
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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 .
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1例作直肠指检、CT与超声检查。
Case underwent digital rectal examination , CT and transrectal ultrasound .
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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 .
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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 .
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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 .
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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
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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 .
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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 .
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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 .
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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 .
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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 ) .
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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 .
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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 .
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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 .
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直肠指检的诊断正确率仅为52.5%。
The accuracy rate was only 52.5 % by digital examination .
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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
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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
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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 .
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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 .
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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 .
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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 .
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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 .
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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 .
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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 .
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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 .
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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 ) .