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膀胱肠瘘
相关语句
  enterovesical fistulas
     Imaging diagnosis of enterovesical fistulas
     影像学检查在膀胱肠瘘中的诊断价值
短句来源
     Methods:The information of 12 cases of enterovesical fistulas from cystoscopy , barium enema, cystography, computerized tomography (CT) scanning and KUB IVP was analysised.
     方法:回顾分析12例各型膀胱肠瘘的诊断资料,其中膀胱镜检查10例,KUB加IVP9例,膀胱造影8例,钡剂灌肠7例,B超9例,CT7例,MRI3例。
短句来源
     Objective:To investigate the imaging diagnosis of enterovesical fistulas.
     目的:探讨影像学检查在膀胱肠瘘中的诊断价值。
短句来源
  “膀胱肠瘘”译为未确定词的双语例句
     Diagnosis and treatment of enterovesical fistula(report of 12 cases)
     膀胱肠瘘诊断治疗12例报告
短句来源
     Objective To assess the diagnosis and treatment of enterovesical fistula.
     目的探讨膀胱肠瘘的诊断与治疗方法。
短句来源
     Methods The clinical data of 12 cases (10 men and 2 women;mean age,57 years) of enterovesical fistula were retro- spectively analyzed.
     方法回顾性分析12例膀胱肠瘘患者的临床资料。 男10例,女2例。
短句来源
  相似匹配句对
     Imaging diagnosis of enterovesical fistulas
     影像学检查在膀胱中的诊断价值
短句来源
     Diagnosis and treatment of enterovesical fistula(report of 12 cases)
     膀胱诊断治疗12例报告
短句来源
     Biliary-Intestinal Internal Fistula
     胆
短句来源
     Management of enteric fistula
     的治疗
短句来源
     Objective To assess the diagnosis and treatment of enterovesical fistula.
     目的探讨膀胱的诊断与治疗方法。
短句来源
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  enterovesical fistulas
Surgical treatment of enterovesical fistulas in Crohn's disease
      
Preoperative detection of occult enterovesical fistulas in patients with Crohn's disease
      
METHODS: A total of 12 patients with Crohn's disease who were suspected from their clinical manifestations of having enterovesical fistulas underwent study.
      


Objective:To investigate the imaging diagnosis of enterovesical fistulas.Methods:The information of 12 cases of enterovesical fistulas from cystoscopy , barium enema, cystography, computerized tomography (CT) scanning and KUB IVP was analysised. Results:The positivity rate of the investigations performed were:KUB IVP got 3(33.3%) suspicious findings,but none was assured; cystography identified the fistulas in 3 (37.5%)cases,the other cases were suspicious; barium enema 1 (14.3%)assured and 1 suspicious; cystoscopy...

Objective:To investigate the imaging diagnosis of enterovesical fistulas.Methods:The information of 12 cases of enterovesical fistulas from cystoscopy , barium enema, cystography, computerized tomography (CT) scanning and KUB IVP was analysised. Results:The positivity rate of the investigations performed were:KUB IVP got 3(33.3%) suspicious findings,but none was assured; cystography identified the fistulas in 3 (37.5%)cases,the other cases were suspicious; barium enema 1 (14.3%)assured and 1 suspicious; cystoscopy combined with fistula-graphy identified the presence and location of fistula in 5 (50%)cases, and 1 was suspicious; CT identified thickened bladder wall in 5 cases including pelvic mass adjacent to bladder wall,and bladder gas in 3 cases.Conclusions:The diagnosis work-up should include a combination of these investigation,and in isolation them may miss the diagnosis. We advocate the CT and cystography as the first line choice; Cystoscopy combined with fistula-graphy can confirm the presence and location of most cases; In cases with faecaluria, barium enema may be a good choice.CT may help planning surgery.

目的:探讨影像学检查在膀胱肠瘘中的诊断价值。方法:回顾分析12例各型膀胱肠瘘的诊断资料,其中膀胱镜检查10例,KUB加IVP9例,膀胱造影8例,钡剂灌肠7例,B超9例,CT7例,MRI3例。结果:KUB加IVP发现3例可疑,无一例确诊;膀胱造影3例因发现造影剂进入肠腔而确诊,3例可疑;钡剂灌肠1例确诊,1例可疑,5例发现结肠内原发病;CT发现例5膀胱壁局部增厚毛糙,其中3例发现膀胱壁外肿块,3例发现膀胱内积气;膀胱镜结合瘘管造影5例确诊,1例可疑。结论:单一检查确诊率较低,对检查结果要综合分析,CT、膀胱造影简便易行,可以作做为初选的手段,膀胱镜结合瘘管造影,可以进一步确定瘘的位置,尿内异物的患者首选钡剂灌肠,CT检查可以为手术方案的选择提供可靠的依据。

Objective To assess the diagnosis and treatment of enterovesical fistula.Methods The clinical data of 12 cases (10 men and 2 women;mean age,57 years) of enterovesical fistula were retro- spectively analyzed.Of the 12 cases,7 (58%) had colovesical fistula,3 (25%) had ileovesical fistula,and 2 (17%) had rectovesical fistula.The etiology of fistula was intestinal malignancy in 7 cases,Crohn disease in 3 ,and bladder cancer in 1,and intestinal diverticulitis in 1.The clinical features included fecaluria in 10 cases,recurrent...

Objective To assess the diagnosis and treatment of enterovesical fistula.Methods The clinical data of 12 cases (10 men and 2 women;mean age,57 years) of enterovesical fistula were retro- spectively analyzed.Of the 12 cases,7 (58%) had colovesical fistula,3 (25%) had ileovesical fistula,and 2 (17%) had rectovesical fistula.The etiology of fistula was intestinal malignancy in 7 cases,Crohn disease in 3 ,and bladder cancer in 1,and intestinal diverticulitis in 1.The clinical features included fecaluria in 10 cases,recurrent urinary tract infection (UTI) in 6,abdominal pain in 4,and pneumaturia in 3.Five patients (5/9) had a definite diagnosis by CT;3 (3/6),by cystoseopy;2 (2/5),by cystography;and 1 (1/5),by barium enema.Among the 10 patients undergoing surgical intervention,resection of the involved bowl with one-stage anastomosis and partial cystectomy was performed in 4;resection of the bowl with one-stage anasto- mosis and repair of the fistula or single bladder drainage in each of 2;one-stage transverse colostomy and two- stage radical colectomy with partial cystectomy in 1;palliative proximal colostomy in 3;and conservative ther- apy in 2.Results One patient died of septic shock 10 d after admission.Nine patients were followed for 3 months to 16 years (mean,6.5 years).One patient had intestinal fistula recurrence and was cured with re- operation;1 patient with conservative therapy and 1 with palliative surgery died of tumor metastasis;and 1 died of cerebrovascular accident 2 years later without fistula recurrence previously.Five patients undergoing surgery had a better survival with no complication.Conclusions The major cause of enterovesical fistula is intestinal malignancy.Fecaluria and recurrent UTI are the most common symptoms.CT and cystoscopy are the preferred adjunctive examinations.Surgical intervention is the major therapeutic choice.

目的探讨膀胱肠瘘的诊断与治疗方法。方法回顾性分析12例膀胱肠瘘患者的临床资料。男10例,女2例。平均年龄57岁。膀胱回肠瘘3例、膀胱结肠瘘7例、膀胱直肠瘘2例。病因为肠道恶性肿瘤7例、Crohn病3例、膀胱癌和肠道憩室炎各1例。临床表现粪尿10例、反复尿路感染6例、腹痛4例、气尿3例。CT确诊5例(5/9)、膀胱镜确诊3例(3/6)、膀胱造影确诊2例(2/ 5)、钡剂灌肠确诊1例(1/5)。行手术治疗10例,其中病变肠段切除一期吻合加膀胱部分切除术4例,病变肠段切除一期吻合加瘘修补术或单纯膀胱引流术各1例,一期横结肠造口、二期结肠癌根治加膀胱部分切除术1例,姑息性近端结肠造口术3例。保守治疗2例。结果1例于入院后第10天死于感染性休克。9例随访3个月~16年,平均6.5年。肠瘘1例复发,再次手术后治愈;1例保守治疗者及1例姑息性手术者死于肿瘤转移,1例术后2年死于脑血管意外,此前随访肠瘘无复发;余5例手术治疗者生存良好,无明显术后并发症。结论膀胱肠瘘多继发于肠道恶性肿瘤,主要临床表现为粪尿和反复尿路感染,CT和膀胱镜为首选的检查方法,治疗以手术为主。

 
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