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Jingdong book

内镜诊断与鉴别诊断图谱：下消化道（第2版）

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Jingdong book

内镜诊断与鉴别诊断图谱：下消化道（第2版）

Name: 内镜诊断与鉴别诊断图谱：下消化道（第2版）
Brand: Jingdong book
SKU: 3117132721
Price: 119.29 USD
Availability: OutOfStock

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一边阅读，一边掌握！工作在第一线的内镜医生们，在检查的过程中，对于镜下所有的图像，他们在仔细观察哪里，在考虑什么？
内镜位置的轻微改变，可能就是病变的所在，就是诊断的依据。
迄今为止，不是仅仅从经验学习，而是详细解读如何观察镜下所见，如何找到病变，对于所有能够考虑到的病变，如何进行分析等等，直至做出正确的诊断。
将本书经常带在身边，经常使用，你就能得到内镜诊断的精髓！
第1版深受好评，广受赞誉！重磅推出更全、更加精的第2版！
▇重新修正、整理“从所见到诊断”的基础知识点、基本病变的鉴别诊断要点。
▇第4章在原有内容的基础上增加了4项：咽部？喉部的病变，出血性病变—急诊内镜检查，食管癌浸润深度的诊断，胃癌浸润深度的诊断。
▇将第1版中的病例重新检查、整理，并增加了新的病例，总病例数达305例。
▇对于第1版中“镇静”部分进行了大幅度的增加，使内容更加充实！

Content Description

消化系统疾病诊断在临床中是非常重要的。本书作为内镜诊断与鉴别诊断（下消化道）最经典图书，第1版就受到了广大的消化内镜医生的欢迎和喜爱。本书详细讲解了如何从内镜下所见来进行诊断。即看到病变后，如何抓住其特征，如何把病变的特征与病名联系起来，从而与其他疾病相鉴别，最终做出争取的诊断，并提出了治疗的基本原则。与第1版相比，不但收集了更多的病例，也添加了很多少见病例，增加并精选了很多内镜图片。共包括5章，分别为下消化道内镜检查的注意事项，下消化道内镜检查必要的局部解剖及正常内镜像，下消化道内镜检查的应用及诊断步骤，肿瘤性疾病的内镜所见及鉴别诊断，炎症性疾病的内镜所见及鉴别诊断。全书内容细致，图片精美，举例经典复发，与临床联系紧密、系统性很强，相信一定会成为消化内镜医生的必备和喜爱之书。

Author Description

多田正大，日本多田消化系统疾病诊所所长.

大川清孝，日本大阪市立综合医疗中心消化内科所长.

三户冈英树，日本芦屋三户冈诊所所长.

Catalogue

第1章下消化道内镜检查的注意事项 1
1. 消化道内镜教育法的基本概念 2
■ 基础教育 3
医学伦理及知情同意 3 /基础课程 3 /基础技能课程 4
■ 小肠镜 4
基础教育 4 /操作教育 4 /必修的具体项目 5
■ 结肠镜 5
基础教育 5 /操作教育 5 /必修的具体项目 6
2. 消化道内镜指南 6
3. 消化道内镜的风险管理 7
■ 知情同意 7
■ 适应证和禁忌证 8
■ 术前准备 8
■ 并发症发生时采取的对策 9
第2章下消化道内镜检查必要的局部解剖及正常内镜像 11
1. 小肠（空肠、回肠）的局部解剖及正常内镜像 12
■ 基本的局部解剖 12
■ 各部位的正常内镜像 12
2. 大肠的局部解剖及正常内镜像 13
■ 基本的局部解剖 13
■ 各部位的正常内镜像 15
肛管和直肠 15 /乙状结肠和降结肠 17 /横结肠 17 /结肠肝曲部 17 /升结肠 17 /盲肠和阑尾开口部 17 /回盲瓣 18
第3章下消化道内镜检查的应用及诊断步骤 21
1. 小肠疾病的内镜检查 22
■ 诊断步骤 22
■ 内镜检查和X线检查的优劣 22
■ 小肠镜的特点和应用分类 23
推进式插入法 23 /循管插镜式插入法 25 /探条式插入法 26 /双气囊法和单气囊法 27 /胶囊内镜 27
2. 大肠肿瘤性疾病的内镜检查 30
■ 诊断步骤 30
■ 内镜检查和X线检查的优劣 30
■ 结肠镜插入技巧 31
结肠镜插入技巧的进步 31 /插入手法基本的注意事项 32
3. 结肠炎症性疾病的内镜检查 35
■ 诊断步骤 35
流行病学意义 36 /背景因素和临床症状 36 /发病过程 37
■ 内镜检查和X线检查的优劣 38
第4章肿瘤性疾病的内镜所见及鉴别诊断 43
1. 小肠肿瘤的种类和分类 44
2. 小肠肿瘤内镜所见及鉴别诊断的要点 44
■ 根据形态进行的鉴别诊断 44
■ 根据发生个数的鉴别诊断 46
3. 结肠肿瘤的种类和分类 46
4. 结肠肿瘤内镜所见及鉴别诊断的要点 46
■ 结肠癌的大体分型及大小的测量 47
大体分型 47 /肿瘤大小的测量 50
■ SM癌浸润深度分级的意义 51
■ 根据肿瘤直径的鉴别诊断 55
■ 根据形态的鉴别诊断 56
■ 根据隆起型肿瘤性状的鉴别诊断 56
蒂的有无 57 /表面的凹凸 57 /分叶 57 /溃疡 ·凹陷 57 /糜烂 ·发红 57 /色泽浑浊 57 /白斑 57 /其他 57
■ 浅表型肿瘤的鉴别诊断 58
凹陷面的形状 58 /边缘隆起部分的形状 59 /腺管开口形状诊断 60
■ 根据发生个数的鉴别诊断 61
■ PG和NPG 61
■ 结肠癌浸润深度的诊断 62
内镜所见的解析 62 / non-lifting sign 63 /超声内镜检查 63
■ 结肠癌的辅助诊断 65
内镜所见及鉴别诊断
①有蒂性病变
（1）有分叶的病变 70
（2）轻度凹凸不平的病变 74
（3）发红 ·糜烂的病变 78
（4）头部破溃的病变 82
（5）表面光滑的病变 86
（6）蒂较粗的病变 90
②亚蒂性病变
（1）有分叶的病变 94
（2）无分叶的病变 98
（3）发红 ·糜烂的病变 102
（4）头部破溃的病变 106
（5）表面光滑的病变 110
（6）多发的病变 112
③无蒂性 ·广基性病变
（1）有分叶的病变 114
（2）无分叶的病变 118
（3）二段隆起 122
（4）表面光滑的病变 126
（5）小的半球形病变 132
（6）凹陷 ·浅溃疡病变 136
（7）深溃疡病变 140
（8）绒毛状外观的病变 144
（9）多发的无蒂性病变 146
④表浅型病变
（1）扁平的病变 150
（2）伴有轻微凹陷的病变 154
（3）伴有广泛凹陷的病变 156
（4）以凹陷为主体的病变 160
⑤特殊型病变
结节集簇、侧向发育的病变 164
⑥伴有狭窄的病变 168
⑦病变部位 ·分布
（1）直肠肛门部的病变 170
（2）回盲部的病变 174
（3）阑尾的病变 180
（4）吻合部的病变 182
⑧结肠炎相关性结肠癌 184
第5章炎症性疾病的内镜所见及鉴别诊断 191
1. 炎症性肠病的种类及分类 192
2. 炎症性肠病鉴别诊断的要点 192
■ 根据炎症的扩散方式进行鉴别诊断 192
■ 根据局部的炎症所见进行鉴别诊断 194
溃疡 194 /糜烂 195 /口疮样病变 195 /发红 197 /出血 197 /挛缩 197 /狭窄·假憩室 197 /铺路石征（cobblestone appearance） 197 /瘘 198 /指压痕征 198
■ 综合的鉴别诊断 198
3. 结肠炎相关性结肠癌的临床病理诊断 201
■ 溃疡性结肠炎合并结肠炎相关性结肠癌的特征 201
■ 早期诊断困难的原因 202
■ 内镜诊断的基本（根据小凹进行诊断）要点 202
■ 合并溃疡性结肠炎的恶性肿瘤 203
内镜所见及鉴别诊断
①颜色
（1）发红 208
（2）血管透见消失 ·减少 212
（3）血管异常 214
（4）水肿明显的病变 220
（5）其他的颜色变化 224
②溃疡 ·糜烂的形态
（1）口疮样病变 230
（2）环周性溃疡 ·糜烂 234
（3）纵行溃疡 ·糜烂 240
（4）环状溃疡 246
（5）带状溃疡 250
（6）圆形溃疡 254
（7）不规则溃疡 262
（8）铺路石征 266
（9）具有隆起的病变 268 ③形态
（1）狭窄 ·狭小 274
（2）肠管的变形 278
④病变部位 ·分布
（1）与直肠相延续的弥漫性炎症 282
（2）局限性炎症 286
（3）非连续性炎症 290
（4）直肠 ·肛门的炎症 296
（5）直肠 ·乙状结肠的炎症 304
（6）阑尾开口部的炎症 306
（7）回盲部的炎症 308
（8）吻合部的炎症 314
其他
（1）寄生虫 316
（2）肠套叠 ·肠扭转 318
（3）瘘 320
（4）异物 322
附录：下消化道内镜诊断及治疗的必要事项 325

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