Compared with CT MRI, plain X-ray films are too outdated.
As I just said, the abdominal x-ray method can only be called economical. Where is the economic benefit? It is mainly to help doctors make a preliminary diagnosis of whether to perform surgery immediately. If it doesn't work, surgery must be done. Let's not talk about other distances.
To accurately know this distance, you can use b-ultrasound. Based on the principle that meconium is hypoechoic and pelvic floor soft tissue is a hyperechoic group, the distance between the meconium in the lower intestine and the pelvic floor soft tissue can be roughly known by using B-ultrasound to know how far the rectum is from the anus. If you want to go further to determine the development of the anal sphincter, then go to MRI.
In general cases, MRI is not used, and it is too expensive.
Through Xie’s addition, several students went back to check the b-ultrasound report, and basically concluded that the median anus is atresia. A more accurate point is the low median anal atresia, which is a bit different from Pan's previous fuzzy judgment based on X-rays alone.
Xie Wanying said again: "Actually, the classification of the disease, the high and the low, are the most talked about by the family members. Academically, this classification method is not very accurate."
Doctors can only start with the simplest explanations to family members, and when they are complicated, many family members can't understand and don't have the patience to listen. This is also why the doctor's academic conference mentioned last time is often held behind closed doors. It is better not to listen to things that you do not understand.
No explanation is not enough. The law stipulates that the guardian of the child should be given an explanation of the child's condition.
After Lin Hao and Pan turned their heads to look at Xie, their hearts skipped a beat: It's over, and they couldn't keep up with Xie's rhythm again.
On the one hand, the update of knowledge in medical textbooks lags behind actual medicine, and it belongs to old students. On the other hand, it cannot sum up everything. This is the first time it has been highlighted. It is equivalent to saying that doctors and medical students not only need to obtain the latest medical information from various latest medical journals, but also need to have a broad and in-depth understanding of the history of medical development.
In the international classification system, this disease is divided into high, middle and low, and each type needs to be further classified into non-fistula and fistula. Due to the different reproductive organs of men and women, it is necessary to subdivide men and women.
Here is another benefit of doing b-ultrasound examination for this disease: From the academic classification, we can know that this disease is often associated with urogenital malformations, routine ultrasound examination of the urinary system and ultrasound examination of the heart, etc. can be performed together It was done in the ultrasound room.
How important accurate clinical classification is to doctors is something that has often been mentioned before and will not be repeated. In this regard, Xie, as a reborn student, has a great advantage in dimensionality reduction and attack, which is incomparable to other students and even teachers.
I only heard Mr. Xie say: "This disease can be classified according to fistula instead of high, middle and low. Anyway, perineal fistula and anal stenosis are often seen in low malformation, urethral bulb, partial anal atresia without fistula, and most rectal scaphoids. Fossa fistula and rectal fistula are median deformities, prostatic fistula and bladder fistula are high deformities. It is more convenient to directly say that the classification of deformities is more convenient, and the operation method should be considered according to the combined deformity rather than simply high, high, and low. It is better than high, high, and low Division plus distortion complicates it."
Other teachers looked at Dr. Wu Manzhong one after another.
Lin Hao and Pan witnessed the expressions of the teachers on the spot, and finally found a comforting sense of balance in their hearts. It seems that they are not the only ones who can't keep up with Xie's rhythm.
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Thank you for your support! ! ! Good night dears~ I really can't do anything today, sorry, I had rashes one after another a few days ago, and I have a low-grade fever today, and it will resume at six o'clock tomorrow.