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IMPACT OF COVID-19 ON INDIAN MEDICAL POSTGRADUATES FROM DIAGNOSTIC BRANCHES COVID-19 对印度医学诊断专业研究生的影响
Pub Date : 2024-04-01 DOI: 10.36106/ijar/0200869
Anuswaru Anuswaru, Sathyam Sathyam, Suvarna Kudiri, Madhavi Kondeti
The outbreak of respiratory illness caused by a novel corona virus(named “COVID-2019”) was declared a global health emergency on 30January 2020 and a pandemic on 11 March 2020 by the World HealthOrganization (WHO) (1). The function of laboratory medicine emergedduring infectious disease outbreaks eruption has a well-establishedhistory(4). Clinical chemistry laboratories played a vital role in treatingthe COVID-19 pandemic in several ways, by establishing diagnosis,prognosis, disease staging, therapeutic medication monitoring, andepidemiologic surveillance investigations (5).
世界卫生组织(WHO)于 2020 年 1 月 30 日宣布由新型日冕病毒(命名为 "COVID-2019")引起的呼吸道疾病爆发为全球紧急卫生事件,并于 2020 年 3 月 11 日宣布为大流行病(1)。实验室医学的功能在传染病爆发期间出现已有悠久的历史(4)。临床化学实验室在 COVID-19 大流行的治疗中发挥了重要作用,包括诊断、预后、疾病分期、治疗药物监测和流行病学监测调查(5)。
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引用次数: 0
COMPARATIVE STUDY BETWEEN FNAC AND TRUCUT BIOPSY IN CLINICALLY SUSPICIOUS PALPABLE BREAST LESIONS. 对临床可疑的可触及乳腺病变进行 FNAC 和 Trucut 活检的比较研究。
Pub Date : 2024-04-01 DOI: 10.36106/ijar/8404904
Nagendra Singh Bhadauria, Vinod Kumar, Neeraj Kumar, Amit Singh
Aims and objectives: To compare the results of ne needle aspiration cytology (FNAC) and Tru-cut biopsy in order todetect pathology in clinically suspicious palpable breast lumps in outpatient setting. Furthermore, to evaluate thediagnostic usefulness of further histopathological details obtained with tru-cut biopsy, and its effect on preoperative planning of surgicaltreatment. A total of 50 women who presented to surgery OPD from January 2023 to December 2023 with Material and methods: clinicallysuspicious palpable breast lump at tertiary care medical college hospital in central Rajasthan, India were included in this prospective study. Afterdetailed history and physical examination, both FNAC and tru-cut biopsy were performed in an outpatient setting. The sensitivity of Results:F.N.A.C. was 95%, specicity was 100% and diagnostic accuracy was 96% while sensitivity of Trucut biopsy was 100%, specicity was 100%and diagnostic accuracy was 100%. Tru-cut biopsy is more accurate than FNAC. Tru-cut biopsy was abl Conclusion: e to give histologicaldiagnosis and results correlated 100% with nal histopathology report, with further information about tumour type, grade, lymph vascularinvasion, and receptors status. It also permitted the eventual use of preoperative adjuvant therapy.
目的和目标:比较  针吸细胞学(FNAC)和真切活检的结果,以便在门诊环境中对临床可疑的可触及乳腺肿块进行病理学检测。此外,还评估通过真切活检获得的进一步组织病理学细节的诊断作用及其对术前手术治疗计划的影响。本前瞻性研究共纳入了 50 名于 2023 年 1 月至 2023 年 12 月在印度拉贾斯坦邦中部的三级甲等医学院附属医院外科门诊就诊的女性,她们都患有临床可疑的可触及乳腺肿块。在详细询问病史和体格检查后,在门诊进行 FNAC 和真切活检。结果:F.N.A.C.的灵敏度为95%,特city为100%,诊断准确率为96%;Tru-cut活检的灵敏度为100%,特city为100%,诊断准确率为100%。真切活检比 FNAC 更准确。结论:真切活检可提供组织学诊断,其结果与 nal 组织病理报告100%相关,并可提供有关肿瘤类型、分级、淋巴管侵犯和受体状态的进一步信息。它还允许最终使用术前辅助治疗。
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引用次数: 0
BURDEN OF SNAKE BITE IN SHEIKH BHIKHARI MEDICAL COLLEGE AND HOSPITAL, HAZARIBAG: A SECONDARY DATA ANALYSIS 哈达里巴格谢赫比哈里医学院和医院的蛇咬伤负担:二手数据分析
Pub Date : 2024-04-01 DOI: 10.36106/ijar/1804706
Soma Oraon, Anju Prabha Kumari, Manoj Kumar Purty
Background: Snake bite is one of the medical emergencies, most commonly reported from the developing countries ofthe Tropical region. Of this study is to estimate the burden of snake bite in Sheikh Bhikhari Medica Aim: l College andHospital (SBMCH), Hazaribag and to assess the outcome of the admitted snakebite victims. This cross- Methodology: sectional study wasconducted by collecting data from July 2022 to December 2022, from the records of Male medicine ward. A total of 342 male patients Results:recorded as snake bite victims. Mean (SD) age and duration of Hospital stay was 34.90(15.203) and 2.29(1.034) respectively. In majority (84.5%)of the Patients the outcome was good and were discharged after treatment. The study revealed maximum Conclusion: number of snake bitevictims during Monsoon. The outcome of the admitted patients is good. Awareness campaign prior to monsoon focusing the preventive measuresis needed to reduce the case load.
背景:蛇咬伤是热带地区发展中国家最常见的急症之一。本研究旨在估算哈扎里巴格谢赫-比哈里医学院和医院(SBMCH)的蛇咬伤负担,并评估收治的蛇咬伤患者的治疗效果。方法:从男科病房的记录中收集 2022 年 7 月至 2022 年 12 月期间的数据,开展这项横断面研究。结果:共有 342 名男性患者被蛇咬伤。平均(标清)年龄和住院时间分别为 34.90(15.203)和 2.29(1.034)。大多数患者(84.5%)疗效良好,治疗后出院。研究显示,季风季节的蛇咬伤患者人数最多。入院患者的治疗效果良好。需要在季风来临之前开展以预防措施为重点的宣传活动,以减少病例数量。
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引用次数: 0
A CASE REPORT OF HENOCH-SCHÖNLEIN PURPURA 一例亨诺克-舍恩莱因紫癜病例报告
Pub Date : 2024-04-01 DOI: 10.36106/ijar/9403368
Raksha Kamat, Panna Bulsara
Background: Henoch-Schönlein purpura (HSP) is the most frequent leukocytoclastic systemic small-vessel vasculitis inchildren. HSP can present with a wide variety of clinical symptoms, from proteinuria and microscopic hematuria withoutany symptoms to variable degrees of acute kidney injury (AKI) and fast progressing glomerulonephritis with a high risk of long-term renalimpairment. The kind and extent of organ involvement determines therapy options in more severe situations. A 12 year old Case Summary:female admitted to New Civil Hospital Surat with chief complaints of rash since 8 days. Also associated with joint and abdominal pain. Patientalso gave history of cough, cold, sorethroat. Investigations done, Dermatologist opinion was taken for skin biopsy, skin biopsy showedleukocytoclastic vasculitis with IgA deposits. Patient Started on prednisolone 1mg/kg/day, Patient showed improvement with prednisolonewithin one week and was discharged sucessfully. It is crucial to dene the differential diagnosis w Discussion: ith other bullous diseases inchildhood. Prognosis of HSP is good if there is no renal involvement. Henoch-Schönlein purpura is a Conclusion: frequent paediatric vasculitisthat is multi-systemic. Although the prognosis is often quite good, some individuals may experience long-term effects, usually in the kidneys.
背景:过敏性紫癜(HSP)是儿童中最常见的白细胞破坏性全身性小血管炎。HSP 可表现出多种临床症状,从无任何症状的蛋白尿和镜下血尿,到不同程度的急性肾损伤(AKI)和进展迅速的肾小球肾炎,以及长期肾功能损害的高风险。器官受累的种类和程度决定了更严重情况下的治疗方案。病例摘要:女性,12 岁,主诉皮疹 8 天,入住苏拉特新民事医院。同时伴有关节和腹痛。患者也有咳嗽、感冒和喉咙痛病史。皮肤科医生建议患者进行皮肤活检,活检结果显示患者患有白细胞减少性血管炎,并伴有 IgA 沉积。患者开始服用泼尼松龙 1 毫克/千克/天,一周后病情有所好转并顺利出院。讨论:与其他牛皮癣的鉴别诊断至关重要。如果没有累及肾脏,HSP的预后良好。结论:HSP 是一种多系统的小儿血管炎。虽然预后通常很好,但有些人可能会受到长期影响,通常是肾脏。
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引用次数: 0
RAPIDLY PROGRESSING PELVIC LUMP: WORKUP OR RESECTION TO PREVENT IMMINENT ABDOMINAL COMPARTMENT SYNDROME. 快速进展的盆腔肿块:进行检查或切除,以防止即将发生腹腔隔综合征。
Pub Date : 2024-04-01 DOI: 10.36106/ijar/5801653
Dipanjan Goswami, Sheetal Upreti, Gaurav Saxena, S. Neogi, Simmi K Ratan
Rhabdomyoscarcoma of bladder in paediatric population is a rare tumour with guarded prognosis. Upfront surgery isindicated only in cases of possibility of complete resection followed by chemotherapy and radiotherapy. We present a caseof rapidly progressing lump with imminent abdominal compartment syndrome, for which upfront resection was done to alleviate patientsymptoms followed by chemotherapy and radiotherapy.
儿科膀胱横纹肌肉瘤是一种罕见肿瘤,预后不佳。只有在有可能完全切除的情况下,才建议先进行手术,然后再进行化疗和放疗。我们介绍了一例进展迅速并伴有腹腔隔综合征的病例,患者在接受化疗和放疗后,通过前期切除术缓解了症状。
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引用次数: 0
POTT'S SPINE MANIFESTING AS PARAPLEGIA IN PREGNANCY AND ITS MANAGEMENT: A CASE REPORT 表现为妊娠期截瘫的波特氏脊柱病及其治疗:病例报告
Pub Date : 2024-04-01 DOI: 10.36106/ijar/9504129
Ridham Ridham, Yamini Jassal, Mohit Satodiya
Tuberculosis is a major health concern in India with extra- pulmonary presentation being 66.6% in pregnancy . Spinal TBor Pott's Spine in pregnancy is a rare entity which can lead to paraplegia and adverse feto-maternal outcomes. Our patientpresented at 34+4 weeks POG with bilateral lower limb weakness and backache since 28weeks period of gestation. Paraparesis being anuncommon complaint in pregnancy, has varied etiology which involves spinal cord. Common causes include traumatic fracture injury, spinal cordcompression due to tumor, metastasis, spinal TB, Pyogenic abscess and Transverse myelitis, Polio, Guillain-Barré syndrome (GBS), amyotrophiclateral sclerosis and Syringomyelia being the less common. The history, neurological examination and imaging helps in narrowing the diagnosis.In Pott's Spine, lower thoracic and upper lumbar region are affected the most. WHO recommends 6 months of therapy with intensive phase of 2months and continuation phase of 4 months which can be prolonged to 12 – 18 months based on symptoms and imaging. Pott's Spine withneurological decits or those who show progressive decit even on ATT needs surgery. MRI is ideal in such a condition and prognosis is good withearly decompression surgery with ATT.
肺结核是印度的一个主要健康问题,66.6%的孕妇患有肺结核。妊娠期脊柱结核或波特氏脊柱结核是一种罕见病,可导致截瘫和不良的胎儿-产妇结局。我们的患者在妊娠 34+4 周时就诊,自妊娠 28 周起就出现双下肢无力和背痛。瘫痪是妊娠期的常见症状,其病因多种多样,涉及脊髓。常见的病因包括外伤性骨折损伤、肿瘤导致的脊髓压迫、转移瘤、脊髓结核、化脓性脓肿和横贯性脊髓炎、脊髓灰质炎、格林-巴利综合征(GBS)、肌萎缩侧索硬化症和脊髓膜炎等。病史、神经系统检查和影像学检查有助于缩小诊断范围。在波特氏脊柱病中,下胸椎和上腰椎区域受影响最大。世卫组织建议患者接受为期 6 个月的治疗,其中强化期为 2 个月,持续期为 4 个月,根据症状和影像学检查结果可延长至 12-18 个月。伴有神经cits 的波特氏症脊柱或即使在ATT治疗后仍出现进行性cits 的患者需要进行手术治疗。在这种情况下,MRI 是最理想的检查方法,尽早进行 ATT 减压手术预后良好。
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引用次数: 0
CANCER: ETIOLOGY, CONTROL AND NUTRITION 癌症:病因、控制和营养
Pub Date : 2024-04-01 DOI: 10.36106/ijar/8110477
Eliseo Ruiz Bedolla, Israel Parra Ortega
Cancer is the leading cause of death in the world; and cancer treatments are becoming more expensive and there are notresources available in any institution or government for their cure. In 2020, there were 19.3 million new cases and around10 million deaths and 28.4 million cases are expected by 2024. The most common types of cancer are breast, lung, colon and rectum and prostate;approximately 30% are due to tobacco use, alcohol consumption, low fruit and vegetable intake, and lack of physical activity; as well asinfections caused by hepatitis viruses or human papillomaviruses. Cancer in children and adolescents is one of the leading causes of death in theworldwide. Each year, more than 400,000 children are diagnosed globally. In children, leukemias are more common, then brain tumors, and thenlymphomas. This makes it a public health problem in Mexico and the worldwide. Amino acids stimulate cell growth and development cellular.Polyamines are the integrated part of the cellular and genetic metabolism and help in transcription, translocation, signaling and post-translationalmodications. Polyamines binding to RNA leads to structural changes which stimulate and increase the protein synthesis along the amino acidsmay inuence the conditions of various diseases. Several diseases can be controlled to a higher extend via maintaining the metabolism of aminoacids and polyamines. On the other hand, a controlled diet is a way to maintain the level of amino acids and polyamines in the body. Presentreview highlights to etiology of cancer, also discusses functions and metabolism of polyamines in human and also highlights the nutritional roleof amino acids and polyamines in the prevention and control of various diseases.
癌症是世界上最主要的死亡原因;癌症的治疗费用越来越高,任何机构或政府都没有可用的资源来治愈癌症。2020 年,全球新增癌症病例 1 930 万例,死亡病例约 1 000 万例,预计到 2024 年将达到 2 840 万例。最常见的癌症类型是乳腺癌、肺癌、结肠癌、直肠癌和前列腺癌;大约 30% 的癌症是由于吸烟、饮酒、水果和蔬菜摄入量低、缺乏体育锻炼以及肝炎病毒或人类乳头瘤病毒感染引起的。儿童和青少年癌症是导致全球死亡的主要原因之一。每年,全球有超过 40 万儿童被确诊为癌症。在儿童中,白血病更为常见,其次是脑瘤,再次是淋巴瘤。这使得白血病成为墨西哥乃至全世界的公共卫生问题。多胺是细胞和遗传代谢的组成部分,有助于转录、转位、信号转导和翻译后莫迪cations。多胺与 RNA 结合会导致结构变化,从而刺激和增加蛋白质的合成,而氨基酸可能会影响各种疾病的。通过维持氨基酸和多胺的新陈代谢,可以在更大程度上控制多种疾病。另一方面,控制饮食也是维持体内氨基酸和多胺水平的一种方法。本综述强调了癌症的病因,还讨论了多胺在人体内的功能和代谢,并强调了氨基酸和多胺在预防和控制各种疾病中的营养作用。
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引用次数: 0
IN SILICO STUDIES OF THE INTERACTIONS OF KEY TERPENOIDS OF ESSENTIAL OILS OF HEDYCHIUM CORONARIUM J. KOENIG, AN ENDANGERED MEDICINAL AND AROMATIC PLANT WITH MATRIX PROTEINS OF BACTERIAL BIOFILMS 一种濒危药用芳香植物 HADYCHIUM CORONARIUM J. KOENIG 精油中的主要萜类化合物与细菌生物膜基质蛋白相互作用的硅学研究
Pub Date : 2024-04-01 DOI: 10.36106/ijar/9410017
Kamath Vaishali, Suveena S, Dawda Himanshu
Essential oils so far have been investigated for their use in wound healing, treating respiratory disorders, antimicrobialand antioxidant properties. They are now looked upon as novel therapeutic agents to treat bacterial biolms. Interactionsof four key components of essential oils of Hedychium coronarium J. Koenig, an endangered, medicinal and aromatic plant with matrix proteinsviz., Self-associating proteins of Escherichia coli, with Lec B protein of Pseudomonas aeruginosa and Sortase protein of Staphylococcus aureuswere studied through molecular docking and molecular dynamics. The key components of the essential oils selected were β-carotene,caryophyllene oxide, eucalyptol and sitosterol..All the four components showed good, stable interactions with Self-Associating Protein ofEscherichia coli. β-carotene, eucalyptol and sitosterol interactions with Lec B protein of Pseudomonas aeruginosa were also stable with theexception of caryophyllene. In case of Staphylococcus aureus, with the exception of eucalyptol, promising results were seen with β-carotene,caryophyllene and sitosterol. The selected essential oil components showed good stable interactions with matrix proteins through in silico resultsthereby validating that natural remedies may be considered for treating fatal illnesses as well.
迄今为止,人们一直在研究精油在伤口愈合、治疗呼吸系统疾病、抗菌和抗氧化方面的用途。现在,它们被视为治疗细菌性生物lms 的新型治疗剂。通过分子对接和分子动力学研究了濒危药用芳香植物 Hedychium coronarium J. Koenig 的精油中的四种主要成分与基质蛋白(即大肠杆菌的自结合蛋白、绿脓杆菌的 Lec B 蛋白和金黄色葡萄球菌的 Sortase 蛋白)之间的相互作用。所选精油的主要成分为 β-胡萝卜素、氧化叶黄素、桉叶油醇和西托脂醇。这四种成分均与大肠杆菌的自相关蛋白(Self-Associating Protein of Escherichia coli)有良好、稳定的相互作用。就金黄色葡萄球菌而言,除桉叶油醇外,β-胡萝卜素、茶叶烯和西托脂醇都有良好的效果。所选的精油成分与基质蛋白的硅学结果显示出良好稳定的相互作用,从而验证了天然疗法也可用于治疗致命疾病。
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引用次数: 0
PSYCHOLOGICAL DISTRESS AND MENTAL HELP SEEKING BEHAVIOR AMONG THE COLLEGE STUDENTS 大学生的心理困扰和心理求助行为
Pub Date : 2024-04-01 DOI: 10.36106/ijar/2602054
Kalaivani. P, Laxmi Narayan Rathore
Psychological distress is known to affect a person's overall mental well-being and college students are often seen as a bundleof energy. Therefore the present investigation studiesthe emotional distress and mental help seeking attitude among collegegoing students in south Indian city. 94 college going students aged between 18 to 25 years pursuing degree course from colleges at Chennai, TamilNādu, India was enrolled in this study using random sampling method. After obtaining informed consent, DASS-21 and MHSAS were selfadministered to assess the level of Depression, Anxiety, Stress, and Mental Help Seeking Behaviour (MHSB). Psychological distress in the form ofmild level of Depression and moderate level of Anxiety along with MHSB was present among the college students. There is a positivecorrelation between Depression, Anxiety, Stress, and MHSB (significant at p<0.01). Significant difference was observed between nuclear andjoint family towards MHSB (t = 2.896, p < 0.01) and Domicile and MHSB (F=4.060, p<0.05) and between economic status and MHSB (F = 3.669,p<0.05). The ndings of the current study concluded the presence of Depression and Anxiety features among college students and thus there is a needfor periodic mental health assessment of college going students and subsequent addressal of their mental health issues, if there is need.
众所周知,心理困扰会影响一个人的整体心理健康,而大学生往往被视为精力充沛。因此,本调查研究了印度南部城市在校大学生的情绪困扰和心理求助态度。本研究采用随机抽样的方法,从印度泰米尔纳德邦金奈市的高校中选取了 94 名年龄在 18 至 25 岁之间、正在攻读学位课程的大学生。在获得知情同意后,对 DASS-21 和 MHSAS 进行了自我管理,以评估抑郁、焦虑、压力和心理求助行为(MHSB)的水平。结果表明,大学生中存在轻度抑郁和中度焦虑的心理困扰以及心理求助行为(MHSB)。抑郁、焦虑、压力和 MHSB 之间呈正相关(p<0.01 为显著)。在核心家庭和联合家庭与 MHSB 之间(t=2.896,p<0.01)、户籍与 MHSB 之间(F=4.060,p<0.05)以及经济状况与 MHSB 之间(F=3.669,p<0.05)存在显著差异。ndings of the current study concluded the presence of Depression and Anxiety features among college students and thus there is an need for periodic mental health assessment of college going students and subsequent addressal of their mental health issues, if there is need.
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引用次数: 0
VALIDITY OF COMPUTED TOMOGRAPHY IN DIAGNOSING GALLBLADDER MASSES AND THEIR CORRELATION WITH FINENEEDLE ASPIRATION CYTOLOGY AND HISTOPATHOLOGICAL EXAMINATION IN A TEACHING HOSPITAL IN NORTH-EAST INDIA. 印度东北部一家教学医院的计算机断层扫描诊断胆囊肿块的有效性及其与细针穿刺细胞学和组织病理学检查的相关性。
Pub Date : 2024-04-01 DOI: 10.36106/ijar/5302620
Nahid Niaj, P. Santoshi
Introduction: Gallbladder carcinoma (CA) is the most common primary biliary carcinoma and fth most commonmalignancy of the gastrointestinal tract. Incidence of gall bladder carcinoma is highest in Asian countries and this hadincreased recently due to improved detection rates. Approximately 90% of Gall Bladder cancers have accompanying cholelithiasis.Adenocarcinoma is the most common histologic type, accounting for 98% of all gallbladder tumors with almost a third of cases presenting withdistant metastasis. 1.To study various features of CT in GB masses. 2.To detect the sensitivity, spe Objectives: cicity, positive predictive valueand negative predictive value of CT in diagnosing gall bladder masses by comparing with ndings ne-needle aspiration cytology (FNAC) andhistopathological examination. Materials and Method: Total 50 patients are included in this study who have presented to Surgery OPD,Agartala government medical college and GBP hospital with symptoms related to GB masses. All the patients subsequently undergo MDCT andsubsequently CT guided FNAC for cytological correlation and followed up to post operative histopathological examination Results: In ourstudy, age of the GB mass patients was ranged from 30 to 90 years. Maximum number of patients were in the age group between 51 and 60 years,about 29%, and age group between 61 and 70 years, about 27%. Minimum number of patients were in the group between -30-40 years and 81–90years. The average age of the patients presented was 58 years. Of 50 patients of the GB masses, 65% were detected in females and 35% weredetected in males. Female predominance is seen. Conclusion: The overall mean age of the patients presented was 58 year, and the overallfemale-to-male ratio was 1.9:1. The most common presenting symptom was jaundice which was seen in 87% of cases. In our study, overalldetection of GB carcinoma CT could detect 93% of cases same as FNAC detection of GB carcinoma.
导言:胆囊癌(CA)是最常见的原发性胆道癌,也是  胃肠道最常见的恶性肿瘤。胆囊癌的发病率在亚洲国家最高,最近由于检测率的提高,发病率有所上升。腺癌是最常见的组织学类型,占所有胆囊肿瘤的98%,近三分之一的病例出现胆囊转移。1.研究胆囊肿块 CT 的各种特征。2.通过与 ndings ne-needle aspiration cytology (FNAC)和组织病理学检查比较,检测CT诊断胆囊肿块的敏感性、特异性、阳性预测值和阴性预测值。材料与方法:本研究共纳入50名患者,他们因胆囊肿块相关症状前往阿加尔塔拉政府医学院和GBP医院外科门诊就诊。所有患者均接受了 MDCT 检查,随后在 CT 引导下进行了 FNAC 细胞学相关检查,并在术后进行了组织病理学检查:在我们的研究中,肿块患者的年龄从 30 岁到 90 岁不等。51-60岁年龄段的患者最多,约占29%,61-70岁年龄段的患者约占27%。年龄在 30-40 岁和 81-90 岁之间的患者人数最少。患者的平均年龄为 58 岁。在 50 名胃肠道肿块患者中,女性占 65%,男性占 35%。可见女性居多。结论患者的平均年龄为 58 岁,男女比例为 1.9:1。最常见的症状是黄疸,占 87%。在我们的研究中,CT 对胃癌的过度检测率为 93%,与 FNAC 对胃癌的检测率相同。
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引用次数: 0
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Indian journal of applied research
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