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Pią 13:11, 04 Mar 2011
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4 cases of neuronal intestinal diagnosis and treatment of abnormal


Cell dysplasia A,[link widoczny dla zalogowanych], B type, mixed type, unclassified type, etc.) except for HD, IND homologous disease known as megacolon (hirschsprungdiseaseallieddisorder), reason of Hirschsprung disease (allieHD), Hao Shi Ming related diseases (HDreleteddisease), false of HD (pseud.HD),[link widoczny dla zalogowanych], Hao Peng even like disease (HDlike-disease), intestinal neuronal intestinal dysplasia (neuronalhypogenesis), abnormal distribution of intestinal or neurological abnormalities (neuronalintestinalmalf0rmati0ns / 【Ivsganonosis) there are limitations, disseminated ( diffuse) of the points. The famous Swiss pathologist Meier-Ruge's IND pathological diagnosis standards. IND can be reduced without ganglion cells, immature ganglion cells and mixed type, unclassified type of intestinal neuronal abnormalities: the more that most of the domestic literature IND neuronal intestinal dysplasia, B-type. Etiology of this disease is not very clear,[link widoczny dla zalogowanych], there are some existing beneath the exact name, and even confusion. Than the typical short segment type, ordinary type,[link widoczny dla zalogowanych], long segment type HD, the existing means of detection and treatment is not satisfactory. All wall pathology, preoperative, and even surgery is not easy to do. Practice has proved that in the HD operation, frozen sections by the method of rapid screening IND this alternative is not realistic. Neuron disease, intestinal abnormalities, except for non-development type (agenecieeype), typical of HD, the clinical diagnosis difficult and treatment difficult. In the primary hospital. Detection of HD existing conventional means, can not meet the clinical. Our clinical practice, and explore the whole gastrointestinal barium meal and barium retention and more time shooting, combined with barium enema and barium retention film, anorectal manometry, rectal mucosal acetylcholinesterase measurement and surgery, pathology, screening found that localized, disseminated IND4 cases (or alternative, mixed, unclassified type) and 1 case of suspected patients. This reminds us that patients with suspected HD, or IND, if patients with severe malnutrition, developmental delay or repeated enterocolitis, should additional full-time barium meal and barium retention film and more. Dou Jin and France reported 324 cases of children with intestinal neuronal dysplasia in patients with simple HD210, while the alternative IND114 cases, accounting for 31.19% (114/324). One IND38 cases, accounting for l1.72% (38/324); HD with IND45 cases, accounting for 13.8% (45/324); ganglion cells decreased in 8 cases, accounting for 2.47% (8 / 324): HD ganglion cells and a decrease of 22 cases, accounting for 6.79% (22/324); immature ganglion cells in 1 case, 0.3% (1 / 324). Microscopic pathology other than technical factors, the group had pathologically confirmed this alternative IND only 4 cases, accounting for 7% of patients admitted to HD57 (4 / 57). The mix and 2 cases of achalasia. 1 case of preoperative abnormal residual urine volume measured,[link widoczny dla zalogowanych], and bladder dysfunction resulting from bladder paralysis, nearly 2 months after surgery is still not fully recovered. More so in recent years, we have reason to believe that more discussion of a topic. That such diseases are contained in Caial with human smooth muscle stromal cells associated with abnormal, needs further study. 3
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