Хронические воспалительные процессы в толстом отделе кишечника повышают риск развития онкологических патологий. Благодаря современным методам диагностики существует возможность выявлять многие заболевания в этой области на ранних стадиях. Наряду с другими манипуляциями, пациентам довольно часто назначают колоноскопию. Процедура подразумевает осмотр внутренней поверхности толстой кишки при помощи эндоскопа.
В результате обследования можно выявить изменения во внутренней оболочке кишечника и появившиеся новообразования. Однако многие пациенты очень боятся такой манипуляции. Более удобным методом диагностики считается виртуальная колоноскопия. Безусловно, это относительно новое направление вызывает ряд вопросов: что такое виртуальная колоноскопия? Чем она отличается от классической? Что в процессе чувствуют пациенты?
Общая информация о процедуре
Виртуальная колоноскопия кишечника — это особая техника проведения компьютерной томографии, при которой с помощью компьютера воссоздается виртуальная трехмерная картина строения различных отделов кишечной трубы. Она напоминает картину, которая возникает во время классического исследования с помощью эндоскопа.
Данная диагностика подразумевает многослойную (мультиспиральную) компьютерную томографию, поэтому получила аббревиатуру — МСКТ колоноскопия. А также можно встретить еще одно название этого диагностического метода — КТ колонография. Для ее проведения используется специальное оборудование, которое образует рентгеновские лучи, пропускает их через ткани тела, воспринимает их обратно и анализирует.
Отличительные особенности от других известных процедур:
- Основная разница между МСКТ от МРТ заключается в том, что в первом случае на организм человека воздействуют рентгеновскими лучами, а во втором — электромагнитным полем.
- От классической эндоскопии МСКТ кишечника отличается отсутствием болевых ощущений и получением более точного изображения. Однако в процессе виртуальной диагностики невозможно сделать забор биоптата для исследования, а значит, достоверно подтвердить онкопатологию таким образом тоже невозможно.
Виртуальная колоноскопия кишечника способна красочно показать общее состояние кишечника. Колонопроктолог сможет рассмотреть опухоли, проявление язв и эрозий, а также другие изменения. Однако оценить цвет слизистой и выявить мелкие образования в ходе такой процедуры не получится.
Показания и противопоказания
Чаще всего виртуальную колоноскопию используют для поиска полипов и других патологических образований толстой кишки.
Назначение компьютерной томографии кишечника может происходить в таких случаях:
- хронические воспалительные процессы в ЖКТ;
- подозрение на онкопатологию;
- пациентам после 40 лет;
- больным с язвенными поражениями;
- при частых нарушениях пищеварения без объективных причин;
- для частых болях в животе неясного происхождения;
- для обнаружения источника кишечного кровотечения.
Основным противопоказанием к проведению такой диагностики является — вынашивание ребенка. Беременным любое излучение, даже в малых дозах, не рекомендовано ввиду повышенного риска воздействия на внутриутробное развитие.
Уже в день назначенной процедуры больному могут отказать в ее проведении в таких случаях:
- острая стадия ОРЗ или ОРВИ;
- «острый живот»;
- дыхательная или сердечная недостаточность;
- общее плохое самочувствие пациента, жар, слабость;
- обнаружен ишемический колит или язвенная болезнь.
Пациентам, находящимся в группе риска развития рака толстой кишки, виртуальную колоноскопию нужно проводить не реже 1 раз в 5 лет.
Достоинства и слабые стороны процедуры
- Процедура не подразумевает введение инструментов в кишечник больного через анальное отверстие.
- Риск сквозного повреждения толстой кишки во время МСКТ во много раз меньше, чем при обычной колоноскопии.
- Является приоритетной манипуляцией для пациентов, имеющих проблемы со свертываемостью крови и тяжелой дыхательной недостаточностью.
- Значительно легче переносится пациентами и не требует применения седативной анестезии.
- В процессе можно осмотреть другие органы брюшной полости и малого таза.
Слабые стороны КТ колонографии:
- При раздутии кишечника перед отправлением в сканер имеется небольшой риск его повреждения.
- За одну процедуру пациент получает дозу радиации, такую же, как от фоновой радиации за 1 год и 8 месяцев.
- Технически тяжело выполнить манипуляцию пациентам, которые страдают ожирением.
- Это чисто диагностическая процедура. Если будет обнаружен полип, то все равно придется делать классическую колоноскопию.
Компьютерная диагностика не может полностью заменить инвазивную колоноскопию.
Этапы процедуры
В зависимости от модели оборудования процесс может занимать разное время. В среднем обследование длится около 20 минут. Виртуальную колоноскопию делают следующим образом:
- Первый этап — это нагнетание воздуха в кишечник, который должен распрямить стенки кишечника. Такую манипуляцию совершают в лежачем положении пациента на кушетке. Может быть использована специальная трубка или груша.
- После этого пациента помещают в сканер. Чтобы выполнить снимки в разных проекциях, аппаратура вращается вокруг больного.
- Пациент должен внимательно слушать врача, который будет курировать его действия и предупреждать о необходимости сменить позу или задержать дыхание.
- В конце процедуры с помощью газоотводной трубки будет удален избыточный воздух из кишечника.
- Результаты исследования больной сможет получить в течение часа. По желанию это может быть диск или распечатанные изображения.
В процессе рентгеновские лучи, которые проходят через тело пациента, улавливаются датчиком и далее обрабатываются с помощью компьютера. Один оборот аппаратуры вокруг пациента называется «срез». Если говорить простым языком, то процедура напоминает нарезание хлеба на кусочки.
Подготовка к процедуре
Прежде чем сделать виртуальную колоноскопию, пациент должен уделить особое внимание подготовке:
- Во время предварительной беседы с врачом пациент должен сообщить обо всех хронических заболеваниях и принимаемых на постоянной основе препаратах. Особенно нужно указать, если имеются серьезные патологии сердечно-сосудистой системы, почек или печени.
- Перед виртуальной колоноскопией понадобится предварительно сделать рентгенографическое исследование органов брюшной полости.
- За 7-10 дней до диагностики больному порекомендуют отказаться от препаратов, которые содержат ацетилсалициловую кислоту и ее производные.
- За 48 часов до намеченной процедуры следует скорректировать питание. Следует исключить из рациона любые продукты, которые могут способствовать повышенному метеоризму (молоко, бобовые, черный хлеб, газированные напитки). Лучше в эти дни отдать предпочтение кисломолочным продуктам, рыбе, нежирной говядине.
- За 24 часа перед обследованием разрешается позавтракать, после чего можно только пить чай и негазированную воду.
- Особенно тщательно следует очистить кишечник, поскольку недостаточная очистка может негативно сказаться на результатах. Чтобы как следует очистить кишечник, клизму нужно ставить вечером накануне обследования и утром в день проведения колоноскопии.
Вечером кишечник рекомендовано очищать дважды с разрывом в 1 час. Лучшее время для этого после 19:00. За один раз следует вводить не менее полутора литров жидкости. Считается, что кишечник очищен полноценно, если при испражнении выходит чистая вода. Кроме клизм, некоторые прибегают к очищению кишечника с помощью препаратов: Фортранс, Дюфалак, Флит.
Некоторые пациенты решаются на виртуальную колоноскопию самостоятельно, без назначения проктолога. Но в таком случае с результатами обследования все равно стоит обратиться к специалисту для постановки правильного диагноза.
Отзывы пациентов
Это направление в диагностике относительно новое, поэтому пациенты активно ищут отзывы тех, кто уже делал такую манипуляцию.
Стоит отметить, что данный вид диагностики имеет высокую стоимость, тем не менее он привлекает многих своей безопасностью и отсутствием болевых ощущений в процессе выполнения. Однако если специалист настаивает на классической колоноскопии, то к нему стоит прислушаться. В каждом конкретном случае лечащий врач может подобрать приоритетный диагностический метод.
Виртуальная колоноскопия – разновидность МСКТ диагностики, новый и перспективный метод исследования, позволяющий визуализировать отделы толстой кишки без введения эндоскопа внутрь. Методика безопасна и не вызывает побочных эффектов. По результатам процедуры получают двух- и трёхмерные изображения разных отделов кишечника и выявляют патологии органа.
Общие сведения о процедуре и история развития
Колонография – методика исследования при помощи лучевой диагностики с использованием мультиспирального компьютерного томографа. Диагностика даёт возможность доктору выводить изображение толстого кишечника на монитор и отслеживать любой сантиметр полости в режиме реального времени.
Процедура стала спасением для пациентов, которым показано регулярное обследование кишечника. Недавно единственным методом диагностики называлась колоноскопия при помощи эндоскопа, вводимого через анальное отверстие в кишку. Без анестезии указанный метод для некоторых пациентов просто невыносим.
Пробная колонография сделана в США в 1993 году, но на её одобрение в качестве законного метода исследования понадобилось 15 лет. На само сканирование тогда потребовалась минута времени, а вот обработка и расшифровка данных заняла 9 часов.
Сегодня информация собирается за считанные секунды и сразу происходит обработка. Аппарат, вращаясь по кругу, делает снимки с разных ракурсов. Проходящие через тело пациента лучи мгновенно регистрируются датчиками и передаются на монитор.
В России практиковать колонографию стали с 2007 года. Врачи отметили яркость и чёткость изображений, при этом заметили, что полипы, опухоли, воспаления – легко поддаются диагностике.
Показания к процедуре
Главное показание к процедуре – исследование злокачественных новообразований в толстом кишечнике. Вдобавок процедура КТ – колонографии назначается при кишечном кровотечении, для установления места локализации патологии. Уместным окажется исследование доброкачественных новообразований и установление их размера.
Семейный полипоз в анамнезе – безусловное показание к проведению исследования, так как доброкачественные новообразования либо полипы нередко перерождаются в злокачественные.
Процедура показана людям, испытывающим регулярные боли в нижней части живота, чьи функции кишечника изменены. Лицам, возрастная категория которых превышает 50 лет, рекомендовано проходить обследование на патологии кишки не реже раза в 7 лет. Человеку, относящемуся к группе риска развития злокачественных новообразований, процедура колоноскопии рекомендована раз в 5 лет.
Подготовка
Большое значение имеет предварительная беседа с лечащим врачом. Пациент обязан предупредить о хронических заболеваниях и принимаемых лекарственных средствах. Ряд патологий станет противопоказанием для диагностики. Возможно, врач назначит рентген органов брюшной полости.
Доктор может сделать рекомендации по поводу места проведения исследования. Сегодня любая современная больница оснащена томографом, пройти диагностику можно там по направлению врача либо выбрать альтернативный вариант в виде частного диагностического центра.
Диета
На подготовительном этапе пациенту рекомендовано соблюдение диеты, потребуется включение жидких продуктов, особенно накануне процедуры. В курс лечебного питания рекомендуется включить:
- Овощи: кабачки, свёкла, огурцы, морковь, салат, капуста, петрушка, укроп, зелёный лук, репа, редис.
- Крупы: пшено, гречка, коричневый рис.
- Фрукты и ягоды: арбуз, дыня, яблоки, персики, грейпфрут, груша, лимон.
- Напитки: зелёный чай, каркаде.
Термическая обработка предвидится минимальной. Мясные блюда должны быть приготовлены из перетёртого мяса, желательно на пару. К примеру, паровые котлеты, тефтели или суфле.
Подготовка к виртуальной колонографии требует исключения отдельных продуктов и блюд. Лучше полностью исключить:
- Копчёности;
- Молочные супы и каши;
- Жирное мясо, консервы;
- Сахар;
- Напитки с содержанием алкоголя, квас, газированную воду.
За пару дней до процедуры пациенту могут прописать препараты для искусственной стимуляции кишечника, вызывающие раздражение его рецепторов, как следствие – опорожнение.
В день обследования необходимо воздержаться от пищи. Разрешается употреблять негазированную воду, перед процедурой необходимо выпить 1 литр жидкости. Перед обследованием пациенту ставится клизма, кишка очищается от каловых масс.
Методика проведения
Прежде чем начинать исследование, врач беседует с пациентом, потом в комнате исследуемый остаётся один. В частных медицинских центрах пациенту предоставляется специальная одноразовая одежда и бахилы.
Подготовленный пациент ложится на кушетку на левый бок. Чтобы картина осталась наиболее чёткой, стенки кишечника раздуваются воздухом при помощи одноразовой трубки и системы нагнетания. Для этого обработанный вазелином наконечник вставляется в анальное отверстие, а другой конец присоединяется к насосу.
Затем положение пациента меняется – он ложится на спину и человека отправляют в томограф, где при помощи рентгеновских лучей проводится сканирование.
Врач выходит из процедурной комнаты и включает компьютерный 3D томограф. При необходимости по средству связи медработник может попросить пациента сделать вдох или задержать дыхание.
После пациент переворачивается и, лёжа на животе, снова подвергается сканированию. Какое-то время данные обрабатываются. Позднее компьютер выводит на монитор картинку, которую врач с лёгкостью расшифровывает. Сканирующий аппарат способен сделать массу снимков для определения патологии и постановки диагноза.
Для наиболее точных результатов можно применить контрастное вещество, которое вводится через клизму и помогает увидеть даже небольшие изменения в оболочке кишки. Сразу после введения вещества появится острый позыв к опорожнению кишечника, но спустя некоторое время, в связи с расслаблением желудочных мышц, ощущение пройдёт.
После окончания обследования воздух из кишечника откачивается. Пациент должен немного походить, чтобы остановить вздутие. Помощь при неприятных симптомах окажет таблетка активированного угля или но-шпы, через пару часов состояние облегчится.
Полученная информация хранится на цифровом носителе. Расшифровку проводит опытный специалист.
Патологии, выявляемые диагностикой
Диагностика показывает опухоли, образования на стенках кишечника. Помимо этого врач может обнаружить:
- Уплотнение стенок толстого кишечника и сужение просвета кишки;
- Лимфому толстой кишки в виде множества кровоточащих язв;
- Лейомиомы ободочной кишки;
- Саркомы кишечника;
- Хроническое воспаление ЖКТ;
- Хроническое воспалительное заболевание оболочки толстой кишки;
- Патологические изменения в сосудах;
- Дивертикулит.
Противопоказания
Диагностика противопоказана беременным и женщинам, кормящим грудью. Беременность – противопоказание для любого вида излучения, даже в небольших дозах. Клинический синдром при острых заболеваниях и повреждениях органов брюшного пространства – считается противопоказанием для метода.
Детей диагностировать можно с 14-летнего возраста.
Проведение исследования невозможно, если вес пациента превышает 120 кг. Люди с признаками ожирения не могут воспользоваться колонографией.
В день процедуры пациенту отказывают в случаях:
- Острой респираторной вирусной инфекции;
- Лёгочно-сердечной недостаточности;
- Плохое самочувствие исследуемого, сопровождаемое жаром и слабостью;
- Ишемического колита.
Достоинства и недостатки процедуры
Травмы при подобной диагностике возникают крайне редко, но вероятность повреждения слизистой оболочки кишечника при сильном давлении не исключена. Частое воздействие рентгеновских лучей может привести к неприятным последствиям в виде злокачественных опухолей.
При обследовании с контрастом иногда возникает головокружение, лёгкое недомогание. Такое состояние – индивидуальная реакция организма на препарат.
Недостатком метода может явится отсутствие возможности изъять образец для исследования, одномоментно удалить полип или провести прочие лечебные манипуляции, которые допускает классическая колоноскопия, что подразумевает проведение эндоскопического исследования кишечника для совершения манипуляций. Виртуальное исследование не даёт выявить образования менее 5 мм. Из минусов – значительная стоимость процедуры в частных клиниках. По этим причинам виртуальная диагностика не способна заменить классическую колоноскопию.
Колонография имеет массу преимуществ перед традиционным методом. Достоинства процедуры по сравнению с другим методом уже успели оценить и врачи, и пациенты. Явное превосходство методики – хорошая переносимость обследуемыми. Диагностика не вызывает дискомфорта и болевых ощущений наподобие эндоскопии ЖКТ. Виртуальная колоноскопия отнимает немного времени. На обследование уходит 15 мин. Колонография отличается высокой точностью результата, позволяет выявить практические любые отклонения.
Главное достоинство методики – повышенный уровень безопасности для пациентов.
КТ-колонография – современный и безболезненный способ исследования кишечника пациента. Часто врач не предоставляет право выбора применять классическую колоноскопию, колонографию или мрт (магнитно-резонансная томография), отдавая предпочтение традиционному способу. В таком случае к мнению врача необходимо прислушаться. Но иногда люди принимают самостоятельное решение произвести процедуру без согласования с проктологом. В таком случае результаты, полученные при обследовании, показываются лечащему врачу для правильной постановки диагноза и назначения лечения.
Боль, вызванная классической колоноскопией, пугает пациентов, страх перед ощущениями и чувством дискомфорта не позволяет решиться на данный вид диагностики, что чревато последствиями. Бессимптомность злокачественных образований в толстом кишечнике позволяет им прогрессировать и оставаться незамеченными продолжительный срок. Виртуальная колоноскопия – отличный вариант для пациентов, имеющих предрасположенность к раковым заболеваниям, но боящихся классического метода исследования.
Для определения точного диагноза специалист всегда назначает ряд методов инструментальной диагностики. Это позволяет безошибочно определить причину неприятных симптомов и провести лечение. Одним из современных и информативных методов диагностики заболеваний ЖКТ является виртуальная колоноскопия.
Содержание
Что такое виртуальная колоноскопия
Методика также носит название МСКТ-колоноскопия. Она используется для обследования слизистых кишечника на всем протяжении органа.
Способ основан на мультиспиральной или многослойной компьютерной томографии. Картинка передается на монитор, что позволяет специалисту рассмотреть состояние органа и его отдельных сегментов.
Трехмерное изображение получается с помощью воздействия специальных рентген-лучей. Они способны проходить сквозь ткани и отображать их состояние.
Виртуальная колоноскопия кишечника имеет несколько отличий от других методов диагностики заболеваний кишечника. Этот способ абсолютно безопасен для организма человека. Получаемая картинка достаточно четкая.
Процедура осуществляется только под руководством специалистов в стационарных условиях после проведения подготовки.
Показания
Обследование кишечника с помощью виртуальной колоноскопии назначается при подозрении на наличие раковых и доброкачественных новообразований, поражающих слизистые органа.
Также к показаниям относятся анемия, причины развития которой не удалось установить с помощью иных методов диагностики, положительный анализ на онкомаркеры, наличие скрытой крови в каловых массах.
Колоноскопия используется и в случаях, когда отсутствует возможность провести эндоскопическое исследование или имеется вероятность развития злокачественной опухоли.
Процедура назначается и при возникновении таких симптомов, как регулярные кишечные и желудочные кровотечения, боли в животе, воспалительный процесс, нарушение работоспособности кишечника.
Виртуальная колоноскопия используется также при ухудшении общего состояния пациента, причиной которого становится анемия.
Противопоказания
Процедура по диагностике заболеваний кишечника имеет и противопоказаний. В первую очередь она не используется для исследования органа при беременности и грудном вскармливании. Подобное противопоказания является временным.
Виртуальная колоноскопия не проводится при установленных заболеваний брюшной полости острой формы и повреждений органов.
Процедура не может быть назначена детям в возрасте до 14 лет и людям, масса тела у которых составляет более 120 кг.
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Все, что нужно знать об онкоцитологии
Алена Кострова- 27 мая 2019 г.
Алена КостроваВременно отложить исследование необходимо и в случаях, когда у пациента имеется простудное заболевание, например, ОРВИ или грипп, установлена общая слабость, наблюдается повышенная температура тела.
Виртуальная колоноскопия не используется в диагностических целях при сердечной или легочной недостаточности, или ишемическом колите.
Подготовка
Перед проведением процедура пациенту следует соблюдать все правила подготовки. Ее следует начинать за 4 дня до исследования. В первую очередь нужно тщательно следить за личной гигиеной. Накануне колоноскопии важно очистить кишечник. Для этого используются слабительные либо клизма.
В период подготовки важно соблюдать правильное питание. В рацион должны входить полужидкие или кашеобразные супы.
Все продукты, которые провоцируют процесс газообразования, должны быть исключены. К ним относятся черный хлеб, салаты листовые, капуста, бобовые, газированные напитки, кисломолочные продукты, включая молоко.
Пациентам рекомендуется отказаться от острых приправ, копченых, соленых и жирных блюд. Это обусловлено тем, что они раздражают кишечник. Негативное влияние на слизистую органа также оказывают пшенная и пшеничная каши.
Специалисты рекомендуют в период подготовки употреблять супы, бульоны на основе нежирного мяса или рыбы, белые сухари.
Питье, кроме газированных напитков, не ограничивается. Морсы, соки, компоты и воду без газа можно употреблять без ограничений. За час до исследования нужно выпить литр жидкости. Запрещено употреблять активированный уголь, лекарственные препараты железа.
Пациенту важно знать, что виртуальная колоноскопия проводится натощак. Употреблять пищу не следует за сутки до процедуры.
По теме
Что такое цитологическое исследование
- Алена Кострова
- 27 мая 2019 г.
Накануне вечером и за 3 часа до исследования необходимо сделать очистительную клизму. Для этого используют уже готовую микроклизму, которую можно приобрести в аптеке.
В отдельных случаях разрешено принимать слабительные препараты. Чаще всего используется «Фортранс».
Перед применением нужно изучить инструкцию по применению. Раствор отличается сладким вкусом. Его можно употреблять охлажденным и добавлять сок цитрусовых.
Перед исследованием нужно в обязательном порядке поставить своего врача в известность о наличии хронических заболеваний. За 6-8 суток до процедуры следует отказаться от приема любых лекарств, в состав которых есть аспирин.
По назначению лечащего врача используется контрастное вещество.
Подготовка к колоноскопии требует тщательного соблюдения, так как от этого зависит достоверность полученных данных.
Что нужно взять с собой
Перед проведением процедуры важно не только правильно подготовиться, но и собрать необходимый пакет документов.
По теме
Особенности цитологии мокроты
- Юрий Павлович Данилов
- 27 мая 2019 г.
Юрий Павлович ДаниловВ первую очередь потребуется направление от лечащего врача. Специалист установит наличие противопоказаний и показаний к проведению процедуры.
Потребуются амбулаторная карта, результаты иных исследований по поводу иных заболеваний и другие документы, относящиеся к болезни.
Как проводится процедура
Исследование проводится после того, как специалист проинструктирует пациента о возможных рисках, ходе проведения процедуры.
Виртуальная колоноскопия обычно осуществляется в частных клиниках. Там чаще пациенту выдают специальную одноразовую одежду. Это простыня, бахилы, халат. Пациенту нужно переодеться и лечь на кушетку на левый бок.
Для получения достоверной информации необходимо, чтобы в кишечнике находился воздух. С целью его закачки применяют одноразовую специальную трубку, которая вставляется в анальное отверстие. Предварительно она смазывается вазелином. Второй ее конец подсоединяется к насосу.
По теме
Когда необходима цитология мочи
- Юрий Павлович Данилов
- 27 мая 2019 г.
Пациент должен перевернуться на спину. В область кишечника направляют рентгенологический аппарат, который осуществляет сканирование. Повторная процедура выполняется после того, как больной переворачивается на живот.
Управление аппаратом осуществляется с помощью специального пульта, который располагается в соседнем кабинете. Пациенту нужно точно выполнять все указания специалиста.
Продолжительность процедуры занимает от 15 до 30 минут.
Больно ли
Незначительный дискомфорт может появиться в процессе закачки воздуха в кишечник. Процедура не приносит боли.
Какие болезни можно установить
Исследование проводится при помощи рентгенологического сканирования. Получаемое изображение выводится на монитор. Благодаря возможности получения трехмерной картинки, специалисту удается определить структуру слизистой кишечника, состояние сосудов.
Таким образом врач может осуществить анализ полученных в реальном времени данных. С помощью виртуальной колоноскопии удается установить источник кровотечений, наличие язв и других дефектов слизистой.
Одним из достоинств методики считается возможность определить новообразования, диаметр которых более 0,1 сантиметра.
Благодаря данному способу диагностики, удается своевременно определить наличие ряда заболеваний, связанных с распространением воспалительного процесса на слизистой кишечника.
Расшифровка результатов
После проведения процедуры пациент может получить результаты сканирования на руки спустя 30-50 минут. Специалисту потребуется время, чтобы обработать полученные данные и соединить изображения в одну картинку.
Результаты могут быть положительными или отрицательными. В первом случае на снимке обнаруживаются затемненные зоны, изменения структуры и новообразования различного размера.
Отрицательный результат определяется при отсутствии определенных аномалий. Если при этом у пациента сохраняются неприятные симптомы, причину их возникновения следует искать с помощью иных методов.
Что оказывает влияние на достоверность результатов
МСКТ отличается высокой информативностью перед другими методиками. Но результаты не всегда могут быть достоверными. К факторам, которые могут оказать влияние на достоверность данных относятся неправильная подготовка, скопление крови в некоторых отделах кишечника, плохая очистка.
Также результат может быть недостаточно верным в результате ригидности кишечника, что наблюдается после перенесенных заболеваний.
Для получения максимально точных данных МСКТ важно точно соблюдать рекомендации специалиста по подготовке и в процессе проведения процедуры.
Есть ли осложнения
Виртуальная колоноскопия – безопасный метод диагностики заболеваний кишечника. Но после процедуры могут возникать определенные осложнения.
По теме
Когда назначается жидкостная онкоцитология
- Александр Николаевич Белов
- 27 мая 2019 г.
Александр Николаевич БеловЧаще всего наблюдается проявление аллергической реакции на контрастное вещество. Она проявляется в виде зуда, сыпи на кожном покрове, покраснения.
Рентгенологическое излучение аппарата вредно для организма человека, но однократное исследование не оставляет практически следов. Опасность представляет постоянное воздействие излучения.
В исключительных случаях отмечается перфорация стенок кишечника, возникающая в результате нагнетания воздуха. Подобное осложнение наблюдается в редких случаях. Причиной становится неправильная подготовка или исследование.
Преимущества и недостатки
Виртуальная колоноскопия является современным методом диагностики патология кишечника. Данный способ имеет множество преимуществ перед иными методиками. Но также есть и недостатки.
Достоинства
Процедура введения трубки, через которую проводится нагнетание воздуха, неприятна даже несмотря на применение седативных препаратов.
Виртуальная колоноскопия пользуется большой популярностью пользуется благодаря ряду преимуществ.
В первую очередь процедура крайне редко становится причиной возникновения осложнений, таких как перфорация стенок исследуемого органа.
Также к достоинствам метода относятся:
- Возможность получения более 1000 снимков за несколько минут. Это позволяет более точно определить локализацию и степень распространения патологического процесса. Диагноз благодаря снимкам может быть установлен уже спустя час.
- Отсутствие анестезии. Процедура безболезненна и присутствие анестезиолога не потребуется.
- Минимальное количество противопоказаний. Виртуальная колоноскопия может быть использована также для диагностики заболеваний кишечника в тех случаях, когда у пациента имеются противопоказания к проведению иных методик. Также процедура может использоваться в случаях, когда отмечается сниженный иммунитет на фоне иных заболеваний.
- Возможность назначения при наличии кровотечений, язвенной болезни, полипов, патологий дыхательной системы.
- Назначение в любом возрасте. Противопоказанием является только возраст до 14 лет.
- Четкость. На снимках специалист может рассмотреть все труднодоступные для иных методов диагностик участки.
- Точность изображений. При правильном выполнении процедуры удается получить максимально точную картинку.
Всю информацию о состоянии кишечника специалист получает уже спустя 5 минут после начала процедуры.
Виртуальная колоноскопия имеет множество положительных отзывов пациентов. Процедура проходит значительно комфортнее, чем иные методики. После диагностики практически отсутствуют побочные эффекты, а самочувствие не ухудшается.
Но самым важным достоинством процедуры является ее неинвазивность. При осуществлении МСКТ не требуется введение в анальный проход специального зонда.
Недостатки
В случае когда на слизистой кишечника сформировано новообразование втянутой или плоской формы, их практически невозможно отличить от поверхности органа. Таким образом, возникает некоторое затруднение в правильной постановке диагноза.
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