CAJ | 학술논문

目的探讨内镜下胃肠道黏膜黄斑辅助诊断血吸虫病的特异性和临床价值.方法对8000例胃镜、结肠镜受检者行常规内镜检查,观察胃肠道血吸虫性黏膜变化,并随机活检,将胃镜、结肠镜检查结果进行统计学分析,总结胃肠道黏膜黄斑的发现率.结果有702例内镜下发现消化道黏膜血吸虫性改变,发现率为8.8%(702/8000).胃镜受检者中,516例发现血吸虫病,发现率为8.0%(516/6421);发现6例患者存在黏膜黄斑,发现率为0.1%(6/6421),占胃型血吸虫病者总数的1.2%(6/516).结肠镜受检者中,186例发现血吸虫病,发现率为11.8%(186/1579);发现177例患者存在黏膜黄斑,发现率为11.2%(177/1579),占大肠型血吸虫病者总数的95.2%(177/186).结论内镜下发现胃肠道黏膜黄斑并进行适当的活检,可辅助对血吸虫病的诊断,具有一定的临床应用价值,为为临床诊断血吸虫病开辟了一条新的途径.
목적 탐토내경하위장도점막황반보조진단혈흡충병적특이성화림상개치.방법 대8000례위경、결장경수검자행상규내경검사,관찰위장도혈흡충성점막변화,병수궤활검,장위경、결장경검사결과진행통계학분석,총결위장도점막황반적발현솔.결과유702례내경하발현소화도점막혈흡충성개변,발현솔위8.8%(702/8000).위경수검자중,516례발현혈흡충병,발현솔위8.0%(516/6421);발현6례환자존재점막황반,발현솔위0.1%(6/6421),점위형혈흡충병자총수적1.2%(6/516).결장경수검자중,186례발현혈흡충병,발현솔위11.8%(186/1579);발현177례환자존재점막황반,발현솔위11.2%(177/1579),점대장형혈흡충병자총수적95.2%(177/186).결론 내경하발현위장도점막황반병진행괄당적활검,가보조대혈흡충병적진단,구유일정적림상응용개치,위위림상진단혈흡충병개벽료일조신적도경.
Objective To evaluate the specificity and clinical value of endoscopy detected gastroin-testinal mucosa macula in diagnosis of schistosomiasis. Methods The findings of routine gastroscopy and colonoscopy performed in 8,000 subjects, including characteristic mucosal changes of schistosomiasis, detec-tion of macula and results of biopsy, were retrospectively analyzed. Results Mucosal changes caused by schistosomiasis were detected in 702 cases (8.8%). Among 6,421 cases of gastroscopy, 516 (8.0%) were diagnosed as schistosomiasis, with mucous macula found in 6 (0.1%, 6/6421), which accounted for 1.2% (6/516) of gastric schistosomiasis. Of the 1,579 cases of colonoscopy, 186 (11.8%) were diagnosed as schistosomiasis, with mucous macula detected in 177 (11.2%, 177/1579), which accounted for 95.2% (177/186) of colonic schistosomiasis. Conclusion Detection of mucous macula through gastroscopy and colonoscopy, accompanied with biopsy, plays an important role in diagnosis of schistosomiasis.