General at clinical up should give a high vigilance to the patient who move bowels the issue of blood, don't imprudently diagnose for"dysentery", and"internal hemorrhoid"...etc., have to check further to expel a cancer a swollen possibility.To rectum cancer of the earlier period diagnose, have to value the application that the rectum points check, rectum mirror or B-like in shape colon mirror etc. check method.
(A)the rectum point to check about 90% rectum cancers, particularly is a next rectum cancer, only depend to point check and can immediately discover.But still there are some doctors doing not make this normal regulations check to the suspicious rectum cancer sufferer currently, with the result that delay diagnosis and treatment.Actually this diagnosis method in brief can go, after rectum point check can also judge Men and the size of lump with gradually degree, whether fix, have have no the bowel wall outside and basin plant sex lump etc. inside the chamber.
(Two)rectum mirror or B-like in shape colon mirror check the rectum after pointing the check should make a rectum mirror check again, at orthoptic under help diagnosis, observation lump of appearance, top and bottom good luck and be apart from the distance of ass good luck, and adopt lump organization to make a pathologic slice check to make sure a lump property and it divides degree.Be located on rectum in, the last cancer is swollen, the finger can not touch, and adopting the B-like in shape colon mirror check is a kind of better method.
(Three)barium diagnosis help that infuse bowel, fiber colon mirror check to the rectum cancer isn't big, past don't list as normal regulations of check, only for apply while expeling colon rectum to deliver sex tumor more.
A, rectum ass pick up an anus to point a check to in brief and easily go, the rectum points checks to is still the rectum cancer surgical operation ex- series of check currently in the most basic with the most important check method.
Two, the laboratory check
1)move bowels concealed blood to experiment:This method is simple to easily go, is early large intestine cancer census Shai method and colon paroxysm of normal regulations check.The one who have condition can also apply an immunology method to raise a correctness.
2)the hemoglobin check:Any reason is unidentified and anemic, the hemoglobin is lower than a 100 gsthe L should suggest to make a barium to infuse bowel check or the fiber colon mirror check.
3)the serum cancer Pei antigen(CEA) check:The CEA check doesn't have the diagnosis value of particularity, therefore isn't suitable for is a census or diagnose in early days, but prepare behind and inspect curative effect and relapse aspect to have a certain help to the estimate.
Three, inside the mirror check any to have then blood or the bowels are used to a change, through the rectum point check just like often finder, carry on B-like in shape colon mirror or the fiber colon mirror check in response to the normal regulations.Inside mirror check can at orthoptic under observation focus circumstance, and can take to live check to make pathology diagnosis.
Fiber colon mirror check currently but speech is to the pathological changes inside the large intestine diagnose most effectively, the most safe and the most dependable check method, overwhelming majority in early days large intestine cancer can from inside mirror check detection.
Four, the dual contrast builds to copy the traditional barium cancer and large intestine gland lump that infuses the bowel X line's check to the earlier period to show to often have a difficulty, but annoys the barium dual contrast to build a shadow technique and has already consumedly raised the detection rate of the earlier period large intestine cancer and small gland lump and diagnosed an accurate soldier and has become the emanation section normal regulations check currently.
Five, CT diagnosis the CT doesn't can do the method that diagnoses for the earlier period, but the CT has important meaning to the cent period of colon cancer, particularly for estimate not ability direct surgical operation, but at apply an outside emanation or put to treat inside the partial chamber after probably drive surgical operation cut off of the patient is of great value.CT to the rectum cancer in later period and relapse the surgical operation estimate of sex rectum cancer has already compared the gist righteousness, can directly observe the tumor infringes upon a pelvis muscle(lift an anus muscle and shut a muscle inside the bore, the tail bone muscle, pear-like in shape muscle and hip muscle) urine bladder and prostate gland.
After operation 3 can make a chamber CT check in month, as a foundation slice, in order to in with check against to use while visiting.After operation the 2~3 years internal help separates to make a CT check once in 6~8 months each time, or when CEA goes up reexamination CT.In addition, the CT provide a correct fixed position towards relapsing sex rectum cancer application to put to treat canning, and the Ba physical volume of assurance adequacy.
Six, super voice show the elephant check super voice inside the rectum to show an elephant check is with probe into a rectum cancer to outside invade and tumor to rectum wall of gradually degree for a kind of new diagnosis method of purpose, in 1983 since start being more applied than clinical.Super voice inside the rectum show an elephant check can with accuracy diagnose a tumor infringe upon of part and size.
Seven, Ci resonance the check has the researcher the outside that calls to the rectum cancer to invade, Ci resonance check(MRI) more the CT is more meaningful.But the Ci resonance still hasn't a few technique problem demands currently perfect, also need to deepen further to the portrait understanding that the Ci resonance provides, shows elephant with super voice inside the chamber to compare in the meantime, the Ci resonance check expenses is expensive to is also the obstacle that it extensively applies.
The rectum cancer diagnoses a method
3.10.2009
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