中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2012年
3期
144-147
,共4页
王小璇%杜奕奇%陈洁%徐灿%廖专%生晶%吴仁培%席惠君%李兆申
王小璇%杜奕奇%陳潔%徐燦%廖專%生晶%吳仁培%席惠君%李兆申
왕소선%두혁기%진길%서찬%료전%생정%오인배%석혜군%리조신
Crohn病%诊断%胶囊内窥镜%双气囊小肠镜%CT小肠成像
Crohn病%診斷%膠囊內窺鏡%雙氣囊小腸鏡%CT小腸成像
Crohn병%진단%효낭내규경%쌍기낭소장경%CT소장성상
Crohn disease%Diagnosis%Capsule endoscopies%Double-balloon endoscopy%CT enterography
目的 探讨双气囊小肠镜在小肠克罗恩病(CD)诊断中的价值.方法 回顾性总结141例临床怀疑小肠CD行双气囊小肠镜检查患者的临床资料,以病理诊断结合内镜表现和临床随访结果为最终诊断结果,对比分析小肠CD双气囊小肠镜、CT小肠成像以及胶囊内镜的检出率和确诊率.结果 双气囊小肠镜检出小肠CD 128例,检出率为90.8％( 128/141),最终经病理及临床随访确诊126例,确诊率为98.4％ (126/128)；CT小肠成像检出小肠CD 19例,检出率为76.0％( 19/25),最终经病理及临床随访确诊17例,确诊率为89.5％ (17/19)；胶囊内镜镜检出小肠CD 15例,检出率为60.0％( 15/25),最终经病理及临床随访确诊14例,确诊率为93.3％ (14/15).双气囊小肠镜组小肠CD检出率和确诊率均高于胶囊内镜和CT小肠成像.结论 双气囊小肠镜在小肠CD诊断中具有较好的应用价值,对存在内镜检查禁忌证者CT小肠成像可作为首选辅助检查手段.
目的 探討雙氣囊小腸鏡在小腸剋囉恩病(CD)診斷中的價值.方法 迴顧性總結141例臨床懷疑小腸CD行雙氣囊小腸鏡檢查患者的臨床資料,以病理診斷結閤內鏡錶現和臨床隨訪結果為最終診斷結果,對比分析小腸CD雙氣囊小腸鏡、CT小腸成像以及膠囊內鏡的檢齣率和確診率.結果 雙氣囊小腸鏡檢齣小腸CD 128例,檢齣率為90.8％( 128/141),最終經病理及臨床隨訪確診126例,確診率為98.4％ (126/128)；CT小腸成像檢齣小腸CD 19例,檢齣率為76.0％( 19/25),最終經病理及臨床隨訪確診17例,確診率為89.5％ (17/19)；膠囊內鏡鏡檢齣小腸CD 15例,檢齣率為60.0％( 15/25),最終經病理及臨床隨訪確診14例,確診率為93.3％ (14/15).雙氣囊小腸鏡組小腸CD檢齣率和確診率均高于膠囊內鏡和CT小腸成像.結論 雙氣囊小腸鏡在小腸CD診斷中具有較好的應用價值,對存在內鏡檢查禁忌證者CT小腸成像可作為首選輔助檢查手段.
목적 탐토쌍기낭소장경재소장극라은병(CD)진단중적개치.방법 회고성총결141례림상부의소장CD행쌍기낭소장경검사환자적림상자료,이병리진단결합내경표현화림상수방결과위최종진단결과,대비분석소장CD쌍기낭소장경、CT소장성상이급효낭내경적검출솔화학진솔.결과 쌍기낭소장경검출소장CD 128례,검출솔위90.8％( 128/141),최종경병리급림상수방학진126례,학진솔위98.4％ (126/128)；CT소장성상검출소장CD 19례,검출솔위76.0％( 19/25),최종경병리급림상수방학진17례,학진솔위89.5％ (17/19)；효낭내경경검출소장CD 15례,검출솔위60.0％( 15/25),최종경병리급림상수방학진14례,학진솔위93.3％ (14/15).쌍기낭소장경조소장CD검출솔화학진솔균고우효낭내경화CT소장성상.결론 쌍기낭소장경재소장CD진단중구유교호적응용개치,대존재내경검사금기증자CT소장성상가작위수선보조검사수단.
Objective To investigate the value of double-balloon endoscopy for the diagnosis of small bowel Crohn disease(CD).Methods Data of 141 patients with suspected CD undergoing double-balloon endoscopy were reviewed.Diagnosis was made based on pathological,endoscopic findings and clinic follow-up results.Detection rates and diagnosis rates of small bowel CD were compared by double-balloon enteroscopy,CT enterography and capsule endoscopy.Results The detection and diagnosis rates of small bowel CD by double-balloon endoscopy were 90.8％ ( 128/141 ) and 98.4％ ( 126/128),respectively.These two variables by CT enterography were 76.0％ (19/25) and 89.5％ (17/19),and those by capsule endoscopy were 60.0％ (15/25) and 93.3％ (14/15).Conclusion Double balloon enteroscopy has high application value for the diagnosis of small bowel CD.For those contraindicated with endoscopy,CT enterography can be considered as a preferred auxiliary diagnostic modality.
