X-ray films are far behind compared to CT magnetic resonance and so on.
As just said, the abdominal x-ray method can only be called economical. What is economical and beneficial is that it mainly helps doctors make a preliminary diagnosis on whether surgery is needed immediately. If it doesn't work, I will definitely need surgery. Let’s not talk about other distances.
To accurately know this distance, B-ultrasound can be used. Based on the principle that meconium is a low echo and the pelvic floor soft tissue is a strong echo mass, using B-ultrasound to measure the distance between the meconium and the pelvic floor soft tissue in the lower intestine can roughly know how far the rectum is from the anus. If you want to further determine the development of the anal sphincter, do an MRI.
Magnetic resonance imaging is not used in general cases because it is too expensive.
Through Xie’s addition, several students looked back at the B-ultrasound report and basically concluded that it was median anal atresia. A more accurate point is the low median anal atresia, which is slightly different from what Pan had previously judged based on fuzzy x-rays alone.
Classmate Xie Wanying added: "Actually, the classification of the disease is more about the family members. Academically speaking, this classification method is not very accurate."
Doctors can only start from the simplest explanations to family members. When they become complicated, many family members simply cannot understand and have no patience to listen. This is also why the academic conferences of doctors mentioned last time are often held behind closed doors. It would be better not to listen to what you don’t understand if it sounds confusing to you.
It won't work without an explanation. The law stipulates that the child's guardian must be given an explanation of the child's condition.
After classmates Lin Hao and Pan turned their heads to look at Student Xie, their hearts twitched: It's over, and they couldn't keep up with Student Xie's rhythm again.
On the one hand, the update of knowledge in medical textbooks lags behind that of real medicine and is a rehash of old talk. On the other hand, it cannot summarize everything. This is the first time it has been highlighted. In other words, 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.
According to the international classification, this disease is divided into high, middle and low levels, and each type needs to be further classified into no fistula and fistula. Because male and female reproductive organs are different, men and women need to be subdivided.
Here is another benefit of B-ultrasound examination for this disease: From the academic classification, we know that this disease is often complicated by genitourinary malformations, and urinary tract ultrasound examination and cardiac ultrasound screening are routinely performed, which can be done together. It was done in the B-ultrasound room.
How important accurate clinical classification is to doctors has been mentioned frequently before and will not be repeated. At this point, as a reborn student, Xie has a great advantage in dimensionality reduction, which is unmatched by other students and even teachers.
I just heard classmate Xie say: "This disease can not be classified according to high, middle or low position. It can be divided directly according to the fistula. Anyway, perineal fistula and anal stenosis are often seen in low-position deformities. There are no fistulas in the bulb of the urethra, partial anal atresia, and most rectal scaphoids. Fossa fistula and rectal fistula are mid-level deformities, while prostatic fistula and bladder fistula are high-level deformities. It is more convenient to classify the malformations directly. The surgical method should be considered according to the combined deformity rather than simply high, middle and low. It is better to have high, medium and low. Division and deformity complicate things.”
Other teachers looked at Dr. Wu Manzhong.
Classmates 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 seemed that they were not the only ones who couldn't keep up with Xie's pace.
－－－－－－Digression－－－－－
Thank you for your support! ! ! Good night, dear friends~ I really can’t do anything today. I’m sorry. I’ve been having rashes for the past few days. I have a slight fever today. I’ll resume the sixth update tomorrow.
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