期刊文献+
共找到128篇文章
< 1 2 7 >
每页显示 20 50 100
肛周脓肿中医病名溯源 被引量:30
1
作者 麻学英 柳越冬 《中华中医药杂志》 CAS CSCD 北大核心 2018年第1期255-257,共3页
文章通过搜集相关古籍及现代医家论著,梳理出先秦两汉时期到明清时期中医对于肛周脓肿病名变化的脉络,以达到对肛周脓肿中医病名溯源的目的。由此得出,古籍文献中出现的肛周脓肿中医病名有9种之多,出现次数较为频繁的为悬痈及脏毒两个病... 文章通过搜集相关古籍及现代医家论著,梳理出先秦两汉时期到明清时期中医对于肛周脓肿病名变化的脉络,以达到对肛周脓肿中医病名溯源的目的。由此得出,古籍文献中出现的肛周脓肿中医病名有9种之多,出现次数较为频繁的为悬痈及脏毒两个病名,在查阅的20本肛周脓肿相关古籍中,悬痈出现次数为11次,脏毒出现次数为5次,而肛痈仅在《医门补要》出现1次,但其却被各大医家认同并一直沿用至今。另外,《黄帝内经》中提出的"锐疽"一病名,相当于现代医学所讲的"藏毛窦囊肿",是一种先天异常性疾病,其发病部位及发病的属性均与"肛周脓肿"有较大差异,所以不应再归属于肛周脓肿的中医病名范畴之内。 展开更多
关键词 肛周脓肿 肛痈 中医 病名
原文传递
磁共振弥散加权成像在评估Crohn’s肛瘘炎症活动度中的价值 被引量:17
2
作者 王绍娟 唐晓雯 +1 位作者 王中秋 王浩 《中南大学学报(医学版)》 CAS CSCD 北大核心 2019年第2期173-179,共7页
目的:探讨磁共振弥散加权成像(magnetic resonance dif fusion-weighted imaging,MR-DWI)在评估Crohn’s肛周瘘管炎症活动度中的价值。方法:回顾性分析55例经手术和/或肠镜证实的Crohn’s病伴发肛瘘患者的临床资料,所有患者在治疗前及治... 目的:探讨磁共振弥散加权成像(magnetic resonance dif fusion-weighted imaging,MR-DWI)在评估Crohn’s肛周瘘管炎症活动度中的价值。方法:回顾性分析55例经手术和/或肠镜证实的Crohn’s病伴发肛瘘患者的临床资料,所有患者在治疗前及治疗32周后分别行MRI检查。根据治疗结果将患者分为有效组(34例)和无效组(21例),分析两组患者治疗前后的MRI图像,测量表观弥散系数(apparent dif fusion coef f icient,ADC),采用配对t检验分析两组治疗前后ADC值的变化;同时以MRI评分作为参照,分析两组患者ADC值与MRI评分之间的相关性。结果:有效组治疗后ADC值高于治疗前(P<0.05),无效组治疗前后ADC值比较差异无明显统计学意义(P>0.05)。有效组治疗前后ADC值与MRI评分呈强负相关(r=–0.672, P<0.01),有效组+无效组治疗前后ADC值与MRI评分亦呈强负相关(r=–0.638,P<0.01)。结论:肛周瘘管ADC值变化与病灶炎症活动度相关,MR-DWI及ADC值测量可以较准确地判断Crohn’s肛瘘的炎症活动度。 展开更多
关键词 肛瘘 Crohn’s病 磁共振弥散加权成像 表观弥散系数 炎症活动度
下载PDF
克罗恩病肛瘘的诊断与治疗 被引量:15
3
作者 杨柏霖 竺平 孙桂东 《世界华人消化杂志》 CAS 北大核心 2009年第20期2058-2063,共6页
克罗恩病并发肛瘘经过数年的发展会损伤肛门括约肌.细致的肛管直肠检查能正确评价脓肿和肛瘘.理想的治疗方法是选择合适药物与外科手术相结合.伴有胃肠道炎症的患者必须结合药物治疗.低位单纯性肛瘘可采用瘘管切开术,复杂性肛瘘患者必... 克罗恩病并发肛瘘经过数年的发展会损伤肛门括约肌.细致的肛管直肠检查能正确评价脓肿和肛瘘.理想的治疗方法是选择合适药物与外科手术相结合.伴有胃肠道炎症的患者必须结合药物治疗.低位单纯性肛瘘可采用瘘管切开术,复杂性肛瘘患者必须个体化治疗.然而,选择正确的手术方法和药物治疗比较困难.现就克罗恩肛瘘的诊断与治疗进行阐述. 展开更多
关键词 肛瘘 克罗恩病 诊断 治疗
下载PDF
Ligation of intersphincteric fistula tract and its modification: Results from treatment of complex fistula 被引量:13
4
作者 Siripong Sirikurnpiboon Burin Awapittaya Paiboon Jivapaisarnpong 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2013年第4期123-128,共6页
AIM: To compare healing rates between intersphincteric fistula tract (LIFT) and LIFT plus partial fistulectomy procedures. METHODS: A study of complex fistula-in-ano patients was carried out from 1 st March 2010 to 31... AIM: To compare healing rates between intersphincteric fistula tract (LIFT) and LIFT plus partial fistulectomy procedures. METHODS: A study of complex fistula-in-ano patients was carried out from 1 st March 2010 to 31 th January 2012. All operations were done by colorectal surgeons at a referral center in a Ministry of Public Health hospital. Data collected included patients' demographic details, fistula type determined by endorectal-ultraso-nography, preoperative and postoperative continence status, previous operations, time between diagnosis of fistula-in-ano and operation, type of surgery, healing rates, recurrence rates, and types of failure examined by endorectal-ultrasosnography, re-operation in recurrence or failure cases, and complications. RESULTS: The study involved 41 patients whose average age was 40.78 ± 11.84 years (range: 21-71 years). The major fistula type was high-transsphincteric type fistula. The median follow-up period was 24 wk. The overall success rate was 83%: in the LIFT (Ligation intersphincteric fistula tract) group the success rate was 81% and in the LIFT plus (LIFT with partial coreout fistulectomy) group it was 85% (P = 0.529). The median wound-healing time was 4 wk in both groups (P = 0.262). The median time to recurrence was 12 wk. Neither group had incontinence (Wexner incontinence score-0) and the difference in healing rates between the two groups was not statistically significant. CONCLUSION: There was no difference in results between LIFT and LIFT plus operations. The LIFT procedure is a good option for maintaining continence in management of fistula-in-ano. 展开更多
关键词 FISTULA-IN-ANO COMPLEX FISTULA Intersphincteric FISTULA TRACT perianal disease INCONTINENCE
下载PDF
沧州城乡居民肛周疾病的流行病学调查 被引量:14
5
作者 王文进 李梅岭 +3 位作者 何洪芹 陈信 王健莉 张曼丽 《实用预防医学》 CAS 2011年第1期38-40,共3页
目的通过对沧州城乡部分区域居民进行问卷调查,了解本地区居民肛周疾病的发病情况。方法人群问卷调查法。结果人群肛周疾病患病率51.85%;女性患病率54.54%,标准化患病率(P′)=29.28%,男性患病率48.74%,P′=22.57%,肛周疾病的患病率女性... 目的通过对沧州城乡部分区域居民进行问卷调查,了解本地区居民肛周疾病的发病情况。方法人群问卷调查法。结果人群肛周疾病患病率51.85%;女性患病率54.54%,标准化患病率(P′)=29.28%,男性患病率48.74%,P′=22.57%,肛周疾病的患病率女性高于男性(P<0.01)。肛周疾病与工作性质、生活紧张程度、饮食、居住环境等均有相关性(P<0.01)。结论肛周疾病患病率比较高,是目前人群中常见的、多发的疾病。应该引起临床医生的重视。 展开更多
关键词 肛周疾病 流行病学调查 相关因素
原文传递
中药洗剂在克罗恩病肛瘘治疗过程中应用研究 被引量:14
6
作者 胡正超 顾国胜 +4 位作者 李冠炜 陈法喜 李梦璇 武林 任建安 《中医药临床杂志》 2017年第4期568-571,共4页
目的:探讨中药洗剂在克罗恩病肛瘘治疗过程中的疗效。方法:回顾性分析2013年11月-2015年8月接受栓剂纳肛和/或药物灌肠治疗的38例克罗恩病肛瘘患者的临床资料。其中19例患者同时接受了中药洗剂治疗。比较2组患者在入院治疗后第4周、第8... 目的:探讨中药洗剂在克罗恩病肛瘘治疗过程中的疗效。方法:回顾性分析2013年11月-2015年8月接受栓剂纳肛和/或药物灌肠治疗的38例克罗恩病肛瘘患者的临床资料。其中19例患者同时接受了中药洗剂治疗。比较2组患者在入院治疗后第4周、第8周的CDAI评分、PDAI评分的变化,并评价总体的疗效(治疗有效及治疗缓解)。结果:治疗第4周、第8周后,2组患者CDAI评分均明显降低,但2组之间无统计学差异(P>0.05)。洗剂组治疗第4周时的"分泌物"子项分(0.8±0.5 vs.1.4±0.7,P<0.01),第8周时的PDAI总分(3.1±1.9 vs.4.2±1.4,P<0.05)、"分泌物"子项分(0.1±0.3 vs.0.6±0.8,P<0.05)和"疼痛/活动"子项分(0.5±0.7 vs.1.1±0.6,P<0.05)均较对照组显著降低。在总体疗效方面,第8周时洗剂组的治疗有效率明显高于对照组(94.7%vs.63.2%,P<0.05)。结论:中药洗剂外用对克罗恩病肛瘘具有良好的疗效,其可以减少肛瘘局部的分泌液及减轻疼痛,促进肛瘘口的愈合。 展开更多
关键词 中药洗剂 肛瘘 克罗恩病
下载PDF
肛周克罗恩病外科处理 被引量:13
7
作者 谷云飞 《中国实用外科杂志》 CSCD 北大核心 2013年第7期560-563,共4页
克罗恩病(Crohn's disease,CD)往往会导致肛周局部的病变,常见的肛周克罗恩病(perianal Crohn's disease,PCD)可表现为皮赘、痔、肛裂、溃疡、肛瘘、直肠阴道瘘、肛周脓肿、肛管直肠狭窄及恶性肿瘤。对于这些CD并发疾病的治疗... 克罗恩病(Crohn's disease,CD)往往会导致肛周局部的病变,常见的肛周克罗恩病(perianal Crohn's disease,PCD)可表现为皮赘、痔、肛裂、溃疡、肛瘘、直肠阴道瘘、肛周脓肿、肛管直肠狭窄及恶性肿瘤。对于这些CD并发疾病的治疗应根据病人个体情况、医生的经验和判断,选择最恰当的治疗方式。大部分手术治疗应在避免有直肠炎症的情况下进行,将肛门失禁的风险最小化,同时避免直肠切除,提高病人的生活质量。 展开更多
关键词 肛周 克罗恩病
原文传递
中药薰洗配合耳穴压豆治疗肛周疾病术后疼痛临床观察 被引量:12
8
作者 陈群萍 《中国中医药现代远程教育》 2019年第12期76-78,共3页
目的观察中药薰洗配合耳穴压豆对肛周疾病术后疼痛的效果。方法选择80例行肛周疾病手术的患者,采用随机数字表法分为观察组和对照组,各40例,对照组采用术后常规护理,观察组在常规护理的基础上采用中药薰洗配合耳穴压豆进行干预,比较2组... 目的观察中药薰洗配合耳穴压豆对肛周疾病术后疼痛的效果。方法选择80例行肛周疾病手术的患者,采用随机数字表法分为观察组和对照组,各40例,对照组采用术后常规护理,观察组在常规护理的基础上采用中药薰洗配合耳穴压豆进行干预,比较2组术后疼痛评分情况。结果观察组患者疼痛评分明显低于对照组,差异有统计学意义(P<0.05)。结论中药薰洗配合耳穴压豆对缓解肛周疾病术后疼痛有较显著效果,值得临床推广。 展开更多
关键词 中药薰洗 耳穴压豆 肛周疾病 术后疼痛 中医综合疗法
下载PDF
Treatment of peri-anal fistula in Crohn's disease 被引量:9
9
作者 Giuseppe S Sica Sara Di Carlo +5 位作者 Giorgia Tema Fabrizio Montagnese Giovanna Del Vecchio Blanco Valeria Fiaschetti Giulia Maggi Livia Biancone 《World Journal of Gastroenterology》 SCIE CAS 2014年第37期13205-13210,共6页
Anal fistulas are a common manifestation of Crohn's disease(CD). The first manifestation of the disease is often in the peri-anal region, which can occur years before a diagnosis, particularly in CD affecting the ... Anal fistulas are a common manifestation of Crohn's disease(CD). The first manifestation of the disease is often in the peri-anal region, which can occur years before a diagnosis, particularly in CD affecting the colon and rectum. The treatment of peri-anal fistulas is difficult and always multidisciplinary. The European guidelines recommend combined surgical and medical treatment with biologic drugs to achieve best results. Several different surgical techniques are currently em-ployed. However, at the moment, none of these tech-niques appear superior to the others in terms of healing rate. Surgery is always indicated to treat symptomatic, simple, low intersphincteric fistulas refractory to medi-cal therapy and those causing disabling symptoms. Ut-most attention should be paid to correcting the balance between eradication of the fistula and the preservationof fecal continence. 展开更多
关键词 FISTULA Crohn's disease perianal fistula Sur-gery Surgical treatment SETON Anal fistula treatment
下载PDF
Indications and surgical options for small bowel, large bowel and perianal Crohn's disease 被引量:10
10
作者 James WT Toh Peter Stewart +3 位作者 Matthew JFX Rickard Rupert Leong Nelson Wang Christopher J Young 《World Journal of Gastroenterology》 SCIE CAS 2016年第40期8892-8904,共13页
Despite advancements in medical therapy of Crohn's disease(CD), majority of patients with CD will eventually require surgical intervention, with at least a third of patients requiring multiple surgeries. It is imp... Despite advancements in medical therapy of Crohn's disease(CD), majority of patients with CD will eventually require surgical intervention, with at least a third of patients requiring multiple surgeries. It is important to understand the role and timing of surgery, with the goals of therapy to reduce the need for surgery without increasing the odds of emergency surgery and its associated morbidity, as well as to limit surgical recurrence and avoid intestinal failure. The profile of CD patients requiring surgical intervention has changed over the decades with improvements in medical therapy with immunomodulators and biological agents. The most common indication for surgery is obstruction from stricturing disease, followed by abscesses and fistulae. The risk of gastrointestinal bleeding in CD is high but the likelihood of needing surgery for bleeding is low. Most major gastrointestinal bleeding episodes resolve spontaneously, albeit the risk of re-bleeding is high. The risk of colorectal cancer associated with CD is low. While current surgical guidelines recommend a total proctocolectomy for colorectal cancer associated with CD, subtotal colectomy or segmental colectomy with endoscopic surveillance may be a reasonable option. Approximately 20%-40% of CD patients will need perianal surgery during their lifetime. This review assesses the practice parameters and guidelines in the surgical management of CD, with a focus on the indications for surgery in CD(and when not to operate), and a critical evaluation of the timing and surgical options available to improve outcomes and reduce recurrence rates. 展开更多
关键词 SURGERY Crohn’s disease Major abdominal surgery perianal Inflammatory bowel disease Colon cancer
下载PDF
某风洞基地人员肛周疾病患病率及影响因素分析 被引量:8
11
作者 郭文俊 张杰 +5 位作者 肖庆 徐正荣 但汉雷 付伟 占振亚 吴荻 《解放军预防医学杂志》 CAS 2017年第8期886-888,891,共4页
目的探讨某风洞基地人员肛周疾病的患病情况及影响因素,为制订相应的预防和治疗措施提供依据。方法参照肛周疾病症状及诊断标准设计问卷,对某风洞基地人员进行流行病学问卷调查,并分析肛周疾病患病的影响因素。结果共调查243人,资料有效... 目的探讨某风洞基地人员肛周疾病的患病情况及影响因素,为制订相应的预防和治疗措施提供依据。方法参照肛周疾病症状及诊断标准设计问卷,对某风洞基地人员进行流行病学问卷调查,并分析肛周疾病患病的影响因素。结果共调查243人,资料有效242人;肛周疾病患病率为60.33%,其中痔疮、便秘、肛周脓肿为主要的疾病构成;文化程度、睡眠状况、体育锻炼、饮水量、饮酒、荤素饮食构成、坐站蹲时间、定时排便、排便时长、接触噪声及/或电磁辐射是肛周疾病患病的影响因素。多因素Logistic回归分析结果显示,文化程度(OR=0.699,P<0.05)越高越不易患病,导致肛周疾病的危险因素有久坐、久站、久蹲与排便时间过长(OR=1.359、1.937,P<0.05),而睡眠充足、定时排便、多饮水(OR=0.579、0.455、0.570,P<0.05)是减少肛周疾病的保护性因素。结论风洞基地人员肛周疾病患病率较高,影响因素较多,应加强噪声和电磁辐射防护,并对生活方式及卫生习惯进行改善,降低肛周疾病的患病率。 展开更多
关键词 风洞基地人员 肛周疾病 病谱 影响因素
下载PDF
预见性护理干预在肛周手疾病术后预防尿潴留的应用研究 被引量:8
12
作者 金萍 秦川 高金荣 《内蒙古中医药》 2013年第22期170-171,共2页
目的:探讨和研究护理干预对肛周疾病手术后尿潴留的影响。方法:将100例患者随机分为实验组和对照组各50例,对照组采用常规护理,实验组在常规护理的基础上进行预防尿潴留护理干预。结果:两组患者尿潴留的发生率比较,差异有显著性意义。结... 目的:探讨和研究护理干预对肛周疾病手术后尿潴留的影响。方法:将100例患者随机分为实验组和对照组各50例,对照组采用常规护理,实验组在常规护理的基础上进行预防尿潴留护理干预。结果:两组患者尿潴留的发生率比较,差异有显著性意义。结论:实施有效的护理干预措施,可有效改善肛管直肠周围脓肿及肛瘘术后患者尿潴留的发生。 展开更多
关键词 护理干预 肛周疾病 手术 尿潴留
下载PDF
Does capsule endoscopy have an added value in patients with perianal disease and a negative work up for Crohn's disease? 被引量:4
13
作者 Samuel N Adler Metzger Yoav +2 位作者 Scapa Eitan Chowers Yehuda Rami Eliakim 《World Journal of Gastrointestinal Endoscopy》 CAS 2012年第5期185-188,共4页
AIM:To investigate the role of capsule endoscopy in patients with persistent perianal disease and negative conventional work up for Crohn's disease(CD).METHODS:Patients with perianal disease(abscesses,fistulas,rec... AIM:To investigate the role of capsule endoscopy in patients with persistent perianal disease and negative conventional work up for Crohn's disease(CD).METHODS:Patients with perianal disease(abscesses,fistulas,recurrent fissures) were evaluated for underlying CD.Patients who had a negative work up,defined as a negative colonoscopy with a normal ileoscopy or a normal small bowel series or a normal CT/MR enterography,underwent a Pillcam study of the small bowel after signing informed consent.Patients using nonsteroidal anti-inflammatory drugs or who had a history of inflammatory bowel disease or rheumatic disease were excluded.RESULTS:We recruited 26 patients aged 21-61 years(average 35.6 years),17 males and 9 females.One case could not be evaluated since the capsule did not leave the stomach.In 6 of 25(24%) patients with a negative standard work up for Crohn's disease,capsuleendoscopy(CE) findings were consistent with Crohn's disease of the small bowel.Family history of CD,white blood cell,hemoglobin,erythrocyte sedimentation rate or C-reactive protein did not predict a diagnosis of CD.Capsule endoscopy findings led to a change in treatment.CONCLUSION:In patients with perianal disease and a negative conventional work up to exclude CD,CE leads to incremental diagnostic yield of 24%. 展开更多
关键词 perianal ABSCESS perianal FISTULA Ileocolonoscopy CAPSULE ENDOSCOPY Crohn’s disease
下载PDF
Management of perianal fistulas in Crohn's disease:An upto-date review 被引量:5
14
作者 Manuela Marzo Carla Felice +4 位作者 Daniela Pugliese Gianluca Andrisani Giammarco Mocci Alessandro Armuzzi Luisa Guidi 《World Journal of Gastroenterology》 SCIE CAS 2015年第5期1394-1403,共10页
Perianal disease is one of the most disabling manifestations of Crohn's disease.A multidisciplinary approach of gastroenterologist,colorectal surgeon and radiologist is necessary for its management.A correct diagn... Perianal disease is one of the most disabling manifestations of Crohn's disease.A multidisciplinary approach of gastroenterologist,colorectal surgeon and radiologist is necessary for its management.A correct diagnosis,based on endoscopy,magnetic resonance imaging,endoanal ultrasound and examination under anesthesia,is crucial for perianal fistula treatment.Available medical and surgical therapies are discussedin this review,including new local treatment modalities that are under investigation. 展开更多
关键词 Crohn’s disease perianal FISTULA SURGERY DRUG ther
下载PDF
Correlation linking illness perception,negative emotions,and the post-operative recovery effect in patients with perianal disease 被引量:2
15
作者 Shu-Xiang Hou Feng-Jun Dai +2 位作者 Xian-Xue Wang Shao-Wen Wang Ting Tian 《World Journal of Psychiatry》 SCIE 2024年第11期1718-1727,共10页
BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various fac... BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various factors,including individual differences among patients,the characteristics of the disease itself,and the psychological state of the patient.Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.AIM To investigate the effect of illness perception(IP)and negative emotions on POR outcomes in patients with perianal disease.METHODS A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited.We employed a general information questionnaire,the Brief Illness Perception Questionnaire(B-IPQ),and the Hospital Anxiety and Depression Scale(HADS).We used the 15-item Quality of Recovery Score(QoR-15)to measure patients’recovery effects.Finally,we conducted Pearson’s correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.RESULTS Fifty-three(36.3%)had poor knowledge of their disease.Thirty(20.5%)were suspected of having anxiety and 99(67.8%)exhibited symptoms.Forty(27.4%)were suspected of having depression and 102(69.9%)displayed symptoms.The B-IPQ,HADS-A,HADS-D,and QoR-15 scores were 46.82±9.97,12.99±3.60,12.58±3.36,and 96.77±9.85,respectively.There was a negative correlation between pre-operative IP,anxiety,and depression with POR quality.The influence of age and disease course on post-operative rehabilitation effect are both negative.The impact of B-IPQ,HADS-A,and HADS-D on POR was negative.Collectively,these variables accounted for 72.6%of the variance in POR.CONCLUSION The quality of POR in patients with perianal disease is medium and is related to age,disease course,IP,anxiety,and depression. 展开更多
关键词 Illness perception ANXIETY DEPRESSION Crissum disease/perianal disease Post-operative recovery RELATIVITY
下载PDF
肛周疾病患者疼痛护理观察及效果分析 被引量:6
16
作者 刘敏娣 苍丽娟 +1 位作者 李萍 董爽 《实用预防医学》 CAS 2012年第3期464-465,共2页
目的分析肛周疾病患者的疼痛护理效果。方法将河北大学附属医院2009年6月-2011年5月收治的肛周疾病患者92例,按照随机数字表法分为观察组(n=46)和对照组(n=46)。对照组患者给予常规护理,而观察组在常规护理的基础上加强疼痛护理,比较分... 目的分析肛周疾病患者的疼痛护理效果。方法将河北大学附属医院2009年6月-2011年5月收治的肛周疾病患者92例,按照随机数字表法分为观察组(n=46)和对照组(n=46)。对照组患者给予常规护理,而观察组在常规护理的基础上加强疼痛护理,比较分析两组的护理效果。结果观察组患者治疗总有效率为97.8%,对照组为93.5%,组间差异无统计学意义(χ2=0.26,P>0.05)。护理前两组患者的疼痛评分间差异无统计学意义(t=1.19,P>0.05),护理后观察组患者的疼痛评分明显优于对照组,组间差异有统计学意义(t=8.46,P<0.05)。结论对肛周疾病患者在常规护理的基础上加强疼痛护理可以取得良好的护理效果,明显减轻患者的疼痛,提高患者的生活质量。 展开更多
关键词 肛周疾病 疼痛护理 常规护理
原文传递
Current applications of transperineal ultrasound in gastroenterology 被引量:6
17
作者 Andreia Albuquerque Eduardo Pereira 《World Journal of Radiology》 2016年第4期370-377,共8页
Transperineal ultrasound is an inexpensive,safe and painless technique that dynamically and non-invasively evaluates the anorectal area.It has multiple indications,mainly in urology,gynaecology,surgery and gastroenter... Transperineal ultrasound is an inexpensive,safe and painless technique that dynamically and non-invasively evaluates the anorectal area.It has multiple indications,mainly in urology,gynaecology,surgery and gastroenterology,with increased use in the last decade.It is performed with conventional probes,positioned directly above the anus,and may capture images of the anal canal,rectum,puborectalis muscle(posterior compartment),vagina,uterus,(central compartment),urethra and urinary bladder(anterior compartment).Evacuatory disorders and pelvic floor dysfunction,like rectoceles,enteroceles,rectoanal intussusception,pelvic floor dyssynergy can be diagnosed using this technique.It makes a dynamic evaluation of the interaction between pelvic viscera and pelvic floor musculature,with images obtained at rest,straining and sustained squeezing.This technique is an accurate examination for detecting,classifying and following of perianal inflammatory disease.It can also be used to sonographically guide drainage of deep pelvic abscesses,mainly in patients who cannot undergo conventional drainage.Transperineal ultrasound correctly evaluates sphincters in patients with fecal incontinence,postpartum and also following surgical repair of obstetric tears.There are also some studies referring to its role in anal stenosis,for the measurement of the anal cushions in haemorrhoids and in chronic anal pain. 展开更多
关键词 Transperineal ultrasound Inflammatory perianal disease Posterior compartment Obstructed defecation Fecal incontinence
下载PDF
Enhancing perianal disease management with integrated physical and psychological approaches
18
作者 Uchenna E Okpete Haewon Byeon 《World Journal of Clinical Cases》 SCIE 2025年第2期59-63,共5页
This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal disease... This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal diseases.The study sheds light on how illness perception,anxiety,and depression significantly influence recovery outcomes.Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery.The article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for patients.The study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases. 展开更多
关键词 perianal disease Post-operative recovery ANXIETY DEPRESSION Pain management Emotional well-being Multidisciplinary approach
Perceptions and emotions in postoperative recovery of patients with perianal diseases
19
作者 Bryan Adrian Priego-Parra Jose Maria Remes-Troche 《World Journal of Psychiatry》 SCIE 2025年第1期179-184,共6页
This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discom... This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal diseases.These conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social stigma.Psycho-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to dysbiosis.This disruption can delay wound healing,prolong hospital stay,and intensify pain.Drawing on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes.It advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes. 展开更多
关键词 perianal disease Illness perception Gut microbiota Post-surgical outcomes MICROBIOTA
Perianal Crohn’s disease:Still more questions than answers
20
作者 Akhilesh Swaminathan Miles P Sparrow 《World Journal of Gastroenterology》 SCIE CAS 2024年第39期4260-4266,共7页
In this editorial we comment on the article by Pacheco et al published in a recent issue of the World Journal of Gastroenterology.We focus specifically on the burden of illness associated with perianal fistulizing Cr... In this editorial we comment on the article by Pacheco et al published in a recent issue of the World Journal of Gastroenterology.We focus specifically on the burden of illness associated with perianal fistulizing Crohn’s disease(PFCD)and the diagnostic and therapeutic challenges in the management of this condition.Evol-ving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems,to one that is more nuanced and patient-focused to drive ongoing decision making.This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice. 展开更多
关键词 perianal Crohn’s disease Crohn’s disease classification disease severity Crohn’s disease treatment Anorectal malignancy
下载PDF
上一页 1 2 7 下一页 到第
使用帮助 返回顶部