SU1233865A1 - Method of diagnosis of diseases of large intestine - Google Patents

Description

The invention relates to medicine, in common with radiology, and can be used for the X-ray diagnostics of the diseases, abdomen of the thick kidney and abdominal organs.

The aim of the invention is to improve the accuracy of diagnostics due to double contrasting and sequential X-ray examination, in which each section being filled is downstream from the previous one.

Example. The patient complained of: i soreness in but; 1, of the spoon area, with abundant weakness.

In case of roentgenosconin of the appearance of astrooduodenitis.

Colon irrigoscopy was performed with one method of one-ethane barium and double X-ray contrast-1-1 colon KI1KI. In the position of the patient on the abdomen with an inclination, about 400 ml of barium suspension was injected on the left side of the Trendelenborg. The hose is blocked. A 3-fold spicycteric test of n. My kin1ki was made, concluding with a year-old muscles of sphincters of the gut in the deep discharge of the stomach. The patient was pulled on the stomach, and the X-ray unit was placed in a horizontal position.

Produced fluoroscopy. You have entered into a direct barium suspension, sigmoid || O | |, nis.khod necks and the left half of the transverse colon intestines. Through a straight line, the first portion of air (about 400 cm). 1 and fluoroscopy: the air partially filled the rectum and part of the sigmoid colon. Barieva slid advanced to the right half of the cross-rim KIN1KI. The patient turned on the right side. Introduced a second portion of air (about 400 cm). The patient was rotated on the stomach and pr (roentgenoscopy zizvels. Bariev's suspension contrasted the sunrise, th and the cecum. At that, you know that the area of the hepatic flexure is sharply narrowed with uneven contours in the distal part. The pathological contraction is about 10 cm Conducted radiography of the hepatic bend.

The patient through the right side turned on his back, after which there was a double pin

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rastisation of the transverse colon, however (.: the decrease in hepatic flexure was preserved. The patient was turned into a non-rectangular oblique position for investigation under conditions of double contrast of the hepatic flexure, which gradually expanded, the contours of its equal, clear, without interluminal formations The ascending and blind intestine also has an equal-dimensional double contrasting. X-rays were taken.

Head) zeros of the patient in the front-line BAND position for and; hdedeBan1-; splenic izba, then povysrnuli sick on the stomach.

Raise the table with the patient in a vertical position and in the lateral position. A radiography of the lower third of the sigmoid, rectosigmoid junction and the upper 2/3 straight was performed. All sections of the colon with the exception of the hepatic ibg without pathological changes.

On the basis of the X-ray data obtained, a conclusion was made: Fu1-1K-i-ional pathological changes in the colon's bend can be caused by a pathological process in the liver or gallbladder.

The patient scanned the liver with a colloidal preparation of radioactive gold Au. An enlarged left lobe of the liver, its deformation is revealed on the scans. The distribution of the drug is uniform with an accumulation defect in the left lobe.

Conclusion: focal lesion of the left. 1 and liver.

Thus, colonic irrigoscopy with the method of single-ethylene barium and double X-ray contrasting of the colon revealed functional pathological changes in hepatic bending and gave indirect evidence of a tumor process in the liver.

A comparative analysis of the X-ray study of 60 patients with the proposed method and 30 patients with the prototype showed that the proposed method improves

92% diagnostic accuracy, 80% prototype.

by 12% and is

Claims (1)

A METHOD FOR DIAGNOSTIC OF DISEASES OF A COLUM INTESTINE by introducing barium suspension, air, carrying out radiography in a horizontal position in a straight and lateral position and in a vertical position in a straight and oblique positions, characterized in that, in order to increase the accuracy of diagnosis, a barium suspension is introduced in the patient’s position at the abdomen with an inclination to the left side along Trendelenburg, a sphincter test of the rectum is carried out, air is additionally introduced in the position of the patient on the right side, the patient is turned on the stomach, then through the right side - on the back and radiographs of the transverse colon, the proximal part of the sigmoid and lower third of the rectum, in the anterior position - the splenic flexure, in the anterior right position - the hepatic flexure, ascending and cecum, after the patient is rotated to the stomach in a vertical position in the lateral position - the distal part sigmoid, rectosigmoid junction and upper 2/3 of the rectum g. SU „„ 1233865 I 233865