中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2008年
46期
3305-3308
,共4页
陈李华%曹海军%章宏%单国栋%张冰凌%姜玲玲%李霖%陈洪潭%方英%程瑛%吴忱姣%厉有名
陳李華%曹海軍%章宏%單國棟%張冰凌%薑玲玲%李霖%陳洪潭%方英%程瑛%吳忱姣%厲有名
진리화%조해군%장굉%단국동%장빙릉%강령령%리림%진홍담%방영%정영%오침교%려유명
小肠%体层摄影术%诊断%双气囊小肠镜
小腸%體層攝影術%診斷%雙氣囊小腸鏡
소장%체층섭영술%진단%쌍기낭소장경
Intestine,small%Tomography,X-ray computed%Diagnosis%Double-balloon enteroscopy
目的 探讨和比较双气囊小肠镜(DBE)与腹部CT对小肠疾病的诊断价值.方法 2007年1月至2008年1月,共对70例疑患小肠疾病者行78次DBE检查,所有患者同时行CT榆查.两组资料行配对四格表资料的X2检验或Fisher精确概率检验.结果 70例患者DBE诊断阳性率明显高于CT[57.1%(40/70)vs 31.4%(22/70),P<0.01].对于黏膜面的炎症、糜烂等病变,DBE诊断阳性率高于CT,差异均有统计学意义(血管畸形4/6 vs 0/6,小肠憩室1/3 vs 0/3,过敏性紫癜2/2vs 0/2,非特异性炎2/2 vs 0/2,P<0.01);而对于肿瘤和克罗恩病,DBE的诊断阳性率与CT相比,差异并无统计学意义(P>0.05).结论 DBE可作为小肠疾病较好的检查方式,CT可为DBE检查途径提供参考,且可了解小肠壁及肠外情况.DBE和CT在检查小肠疾病时可优势互补,建议对疑患小肠疾病者进行联合检查.
目的 探討和比較雙氣囊小腸鏡(DBE)與腹部CT對小腸疾病的診斷價值.方法 2007年1月至2008年1月,共對70例疑患小腸疾病者行78次DBE檢查,所有患者同時行CT榆查.兩組資料行配對四格錶資料的X2檢驗或Fisher精確概率檢驗.結果 70例患者DBE診斷暘性率明顯高于CT[57.1%(40/70)vs 31.4%(22/70),P<0.01].對于黏膜麵的炎癥、糜爛等病變,DBE診斷暘性率高于CT,差異均有統計學意義(血管畸形4/6 vs 0/6,小腸憩室1/3 vs 0/3,過敏性紫癜2/2vs 0/2,非特異性炎2/2 vs 0/2,P<0.01);而對于腫瘤和剋囉恩病,DBE的診斷暘性率與CT相比,差異併無統計學意義(P>0.05).結論 DBE可作為小腸疾病較好的檢查方式,CT可為DBE檢查途徑提供參攷,且可瞭解小腸壁及腸外情況.DBE和CT在檢查小腸疾病時可優勢互補,建議對疑患小腸疾病者進行聯閤檢查.
목적 탐토화비교쌍기낭소장경(DBE)여복부CT대소장질병적진단개치.방법 2007년1월지2008년1월,공대70례의환소장질병자행78차DBE검사,소유환자동시행CT유사.량조자료행배대사격표자료적X2검험혹Fisher정학개솔검험.결과 70례환자DBE진단양성솔명현고우CT[57.1%(40/70)vs 31.4%(22/70),P<0.01].대우점막면적염증、미란등병변,DBE진단양성솔고우CT,차이균유통계학의의(혈관기형4/6 vs 0/6,소장게실1/3 vs 0/3,과민성자전2/2vs 0/2,비특이성염2/2 vs 0/2,P<0.01);이대우종류화극라은병,DBE적진단양성솔여CT상비,차이병무통계학의의(P>0.05).결론 DBE가작위소장질병교호적검사방식,CT가위DBE검사도경제공삼고,차가료해소장벽급장외정황.DBE화CT재검사소장질병시가우세호보,건의대의환소장질병자진행연합검사.
Objeetive To evaluate the diagnostic values of double-balloon enteroscopy(DBE)and abdominal computed tomography(CT)in small bowel disease.Methods Seventy eight DBE procedures were carried out in 70 patients,40 males and 30 females;aged 47.7(16-83)with suspected smalI bowel disease,all of whom received gastroscopy,colonoscopy.and abdominal CT examination at the same time. The diagnostic value of DBE was compared with that of CT.Results Seventeen kinds of small bowel Iesions were detected,mainly including Crohn's disease,adenocarcinoma,gastrointestinal stroma tumor,vascular deformity,lymphoma,diverticulum,and polyp.There were no complications and all procedures were tolerated well.The mean duration of procedure was 110 min(30-240 min).Nineteen patients received surgical intervention.The diagnostic yield rate of DBE wag 57.1%(40/70),significantly higher than that of CT(31.4%,22/70,P<0.01).The positive diagnosis rate of DBE combined with CT was 62.9%(44/70).not significant difierent from that of the DBE alone(P>0.05).Conclusion DBE shows a significantly higher diagnostic yield than CT in patients with suspected small bowel disease,and thus should be selected for the initial diagnosis.DBE Combined with CT did not inerease the diagnostic yield.However. CT not only provides direction of jntubation for DBE.but also clearly depicts the small howel wall and extraenteric alterations.DBE and CT compliment each other in examining the patients with suspected small bowel disease.
