回盲部疾病论文：回盲部疾病 病例分析 中医

回盲部疾病论文：回盲部疾病 病例分析 中医 回盲部疾病论文:回盲部疾病 病例分析 中医 【中文摘要】分析回盲部病例的临床资料,消化道回盲部疾病的种类、分布情况、临床特点、误诊状况、影像学、病理特点等,以加强对回盲部各疾病的认识。材料与方法对2002年至2010年8月在福建省立医院住院的病变发生于回盲部的149例患者,对年龄、性别、职业、病程、诱因、发病部位、临床现、影像、肠镜及病理、住院时间、治疗方法及疗效等项目列表登记,应用统计学方法对相关资料进行分析。结果回盲部癌58例,溃疡性结肠炎24例,肠结核21例,克罗恩病16例,原发性肠型淋巴瘤6例,回盲部炎症7例,嗜酸性细胞性肠炎3例,阿米巴痢疾2例,系统性红斑狼疮1例,肠型白塞氏病1例,未确诊病例10例。回盲部癌发现时已有36例(64.29%)发生转移。克罗恩病、肠结核、溃疡性结肠炎之间年龄比较无差异,但三者与回盲部癌的年龄比较,P均等于0.0000.05,这两者与CT比较P<0.05,提示CT效果较前两者好。误诊34例(22.82%),以肠结核误诊率最高47.62%,其次是克罗恩病31-25%。仍有10例(6.71%)未得到最终确诊。中医诊断上,腹痛58例,积聚34例,便血、泄泻和痢疾各18例,虚劳2例,狐惑1例。肠结核以脾肾阳虚最多(38.09%),克罗恩病以湿热证,脾虚证,脾肾阳虚证相当,溃疡性结肠炎以湿热证为主(37.50%),其次是脾虚证(25.00%)。回盲部癌以血瘀证(46.55%)为主,其次是脾虚证(27.59%)。这四种疾病共119例,其中病例最多的证型是血瘀证33例(27.73),其次是脾虚证31例(26.05%),属于湿热证的 有24例(20.17%),脾肾阳虚证19例(15.97%),寒湿证6例(5.04%), 阴阳两虚证4例(3.36%),肝郁气滞2例(1.68%)。结论(1)回盲部的常 见疾病中,以回盲部癌所占比例最大,且确诊时大部分已经发生转移, 故该部位疾病及早发现、及时明确诊断是目前急需解决的问,尤以 中老年及右下腹可触及包块的患者应引起临床医生的特别重视。(2) 回盲部疾病单纯依靠临床表现和某个辅助检查难以确诊,消化道钡 餐、B超检查、易引起漏诊、误诊。腹部CT有很高的价值,及早检查 可早期发现病变,减少漏诊。及时行结肠镜检查可明显降低误诊率。 (3)中医诊断中以腹痛病最常见,其次为积聚。回盲部疾病中医证型主 要为:血瘀证,脾虚证,湿热证,脾肾阳虚证。 【英文摘要】:Through the lesion occurred in the cecum of cases were retrospectively analyzed,summarized species, distribution,clinical characteristics,misdiagnosed condition, imaging, pathological features and treatment effects of the cecum diseases in order to strengthen the ileocecal awareness of the disease.Materials and methods:the total of 149 hospitalized cases of ileocecal lesions occurred in were Collected in a hospital from January 2002 to August 2010, for age, sex, occupation, duration, incentives, disease location, clinical manifestations, imaging, endoscopy and pathology, hospital stay, treatment and efficacy of a list of registered projects, and applied statistical methods to reach appropriate conclusions.Result:Ileocecal carcinoma in 58 cases,24 cases of ulcerative colitis,21 cases of intestinal tuberculosis,Crohn’ s disease in 16 cases,6 cases of primary intestinal lymphoma,7 cases of ileocecal inflammation, eosinophilic enteritis in 3 cases,2 cases of amoebic dysentery,systemic lupus erythematosus inl cases,1 case of intestinal Behcet’s disease, no confirmed cases in 10 cases.10 cases of intestinal tuberculosis confined to the ileocecal,only 1 case of ulcerative colitis, ileocecal cancer has been discovered 36 cases (64.29%) metastasis.In terms of age,Crohn’s disease,intestinal tuberculosis,ulcerative colitis compared between the age of P> 0.05,can not explain age differences between the three.But three and the age of ileocecal cancer compared equal to 0.000,P 0.05,these two methods were compared with abdominal CT,were obtained by the X2 test P=0.000<0.05.Misdiagnosed, misdiagnosis of 34 cases (22.82%),misdiagnosis occurred in 11 cases of 128 routine colonoscopy, the X2 test was P=0.001<0.05.In the misdiagnosis the highest rate of intestinal tuberculosis misdiagnosed 47.62%, followed by Crohn’s disease,31.25%.There were still 10 cases (6.71%)which had not gotten the final diagnosis.TCM diagnosis,abdominal pain 58 cases,the accumulation of 34 cases,blood in the stool,diarrhea and dysentery of all were 18 cases,Consumption in 2 cases,fox puzzled of 1 case.Spleen and Kidney deficiency proof was the most of the intestines tuberculosis (38.09%),damp-heat proof、Spleen deficiency proof were the same to Spleen and Kidney deficiency certificate in Crohn’s disease,ulcerative colitis to damp-heat the main (37.50%),followed by spleen deficiency syndrome (25.00%),ileocecal cancer to blood stasis syndrome (46.55%),followed by a spleen deficiency syndrome (27.59).the total of the above four diseases was 119 cases,Most cases in which blood stasis syndrome was 33 (27.73%),followed by 31 cases of spleen deficiency syndrome (26.05%),belonging to damp-heat the 24 patients (20.17%),spleen and kidney deficiency syndrome in 19 cases (15.97%),cold cards in 6 cases (5.04%), both yin and yang deficiency syndrome 4 cases (3.36%), liver qi stagnation in 2 cases (1.68%).Conclusion:(1)Common in the ileocecal disease,ileocecal cancer which taked up the largest proportion,which was diagnosed the most of the transfer had taken placed,so that the parts of early detection of disease and timely diagnosis is urgently needed to solve the problem,especially in the elderly and patients with palpable mass in the right lower abdominal should arouse the clinician’ s attention.(2)ileocecal disease,relying solely on clinical manifestations and a secondary inspection is difficult to diagnose。gastrointestinal barium meal,B ultrasonic examination,which may easily lead to misdiagnosis.Abdominal CT has a high value,the early detection of disease early detection and reduce misdiagnosis.Timely colonoscopy can reduce the misdiagnosis rate.(3)Abdominal pain was the most common of TCM diagnosis,followed by accumulation.Ileocecal disease,the main syndromes:blood stasis syndrome, spleen deficiency syndrome,damp-heat syndrome,spleen and kidney deficiency syndrome. 【关键词】回盲部疾病 病例分析 中医 【英文关键词】ileocecal-disease Case-analysis TCM 【目录】149例回盲部病例回顾性分析 中文摘要 4-6 英文摘要 6-7 前言 8-10 资料和方法 10-12 结果 12-20 分析与讨论 20-26 结论 26-27 参考文献 27-29 致谢 29-30 附录 30-31 文献综述一 31-34 参考文献 33-34 文献综述二 34-38 参考 文献 36-38 个人简介 38 【采买全文】 1.3.9.9.38.8.4.8 1.3.8.1.13.7.2.1 同时提供论文写作一对一辅导和论文发表服务.保过包发 【说明】本文仅为中国学术文献总库合作提供，无涉版权。作者如有异议请与总库或学校联系。