直肠显微镜检查血吸虫病560例体会

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在诊断血吸虫病方面,以往我们采用粪便集卵和孵化毛蚴及环卵试酸等相结合的方法检查,仍有相当部分不能查出.为解决这类病人的诊断,三年来我组采用直肠显微镜检查,获得了满意效果,现将560例的检查结果报告如下.材料与方法本组采用 ZX80—1型直肠显微镜(由徐州医用光学仪器厂生产),检查临床怀疑血吸虫病面未接受病原治疗者.但对高度腹水、严重痔疮、肛裂及极度衰弱者缓检.受检者只需术前排空粪便即可.患者取胸膝位或左侧卧位,将直肠镜简缓慢插入至5cm 处拨出镜栓,放入自带光源的直肠显微镜.沿肠腔方向推进至10~14cm 范围内选择可疑处,向前推动推手,使前后两触头夹住粘膜组织, In the diagnosis of schistosomiasis, in the past we used fecal eggs and hatching miracidium and egg test acid combined with the method of inspection, there are still a considerable part can not be found .To address the diagnosis of such patients, three years my group using a rectal microscope Check and obtain satisfactory results, now 560 cases of the test results reported as follows.Materials and methodsThe group using ZX80-1 rectal microscope (produced by the Xuzhou Medical Optical Instrument Factory), check the clinical suspicion of schistosomiasis patients did not receive pathogen treatment .However, for the patients with high ascites, severe hemorrhoids, anal fissure and extreme weakness, the examinee only needs to empty the manure before the surgery.Patients in the thoracolumbar position or the left lateral position should insert the proctoscope slowly and slowly to 5cm Department allocated dial bolt, into the rectal microscope with its own light source along the intestinal cavity to promote the direction of 10 ~ 14cm select the suspicious Department, pushing the hand forward, so that before and after the two contacts clamp the mucosal tissue,
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