RESUMO
Systemic necrotic angiites as well as Vegenera granulomatosis were shown according to literature data and the experience of the authors to be polysymptomatic. The fact makes diagnostics difficult. Multi-biopsies is recommended to conduct a histological verification of the disease.
Assuntos
Granulomatose com Poliangiite/diagnóstico , Adulto , Ciclofosfamida/administração & dosagem , Ciclofosfamida/uso terapêutico , Diagnóstico Diferencial , Esquema de Medicação , Quimioterapia Combinada , Feminino , Granulomatose com Poliangiite/diagnóstico por imagem , Granulomatose com Poliangiite/tratamento farmacológico , Humanos , Prednisolona/administração & dosagem , Prednisolona/uso terapêutico , Resultado do Tratamento , UltrassonografiaRESUMO
For suspicion of pancreatic cancer 84 patients were subjected to ultrasonic examination, computerized tomography, x-ray of the stomach and duodenum and as indicated endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiography combined with external cholangiostomy. The semeiotics of cancer of the pancreas was evaluated on the basis of radiation methods. Practical recommendations on the diagnosis and scope of surgical treatment as assessed preoperatively are given.
Assuntos
Neoplasias Pancreáticas/diagnóstico por imagem , Colangiografia , Colangiopancreatografia Retrógrada Endoscópica , Duodeno/diagnóstico por imagem , Endoscopia do Sistema Digestório , Tecnologia de Fibra Óptica , Humanos , Metástase Linfática , Invasividade Neoplásica , Pâncreas/diagnóstico por imagem , Neoplasias Pancreáticas/patologia , Estômago/diagnóstico por imagem , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
The examination and treatment of 22 children at the age of from 2 to 14 years after surgical correction of fistulous forms of atresia of the anus and rectum was carried out. In all the patients, besides of general clinical investigations, the special studies of the large intestine with the use of roentgenologic and functional methods were performed. A scale-table for assessment of a degree of anal incompetence have been developed, criteria for choice of rational tactics for rehabilitation of the patients established.
Assuntos
Canal Anal/anormalidades , Atresia Intestinal/reabilitação , Atresia Intestinal/cirurgia , Cuidados Pós-Operatórios/métodos , Reto/anormalidades , Adolescente , Canal Anal/fisiopatologia , Canal Anal/cirurgia , Criança , Pré-Escolar , Seguimentos , Humanos , Atresia Intestinal/fisiopatologia , Fístula Retal/cirurgia , Reto/fisiopatologia , Reto/cirurgiaRESUMO
In 12 children with the different forms of anorectal atresia, for studying the state of a sphincter apparatus of the rectum and assessment of quality of its bringing down into the perineum after proctoplasty, computerized tomography of the organs of a small pelvis was used. Underdeveloped and undifferentiated musculus levator ani in children with high anorectal atresia and fistula to the urinary bladder was revealed. The method permits to establish exact location of the intestine brought down relative to musculus levator ani and external anal sphincter.