结肠镜诊断回肠末段疾病临床意义  

Clinical significance of colonscopy diagnosing disease in terminal ileum

作　　者：丁西平[1] 王巧民[1] 郑邦海[1] 贾勇[1] 吴正祥[1] 

机构地区：[1]安徽省立医院消化内科,安徽合肥230001

出　　处：《中国内镜杂志》2005年第10期1045-1046,1055,共3页China Journal of Endoscopy

摘　　要：目的探讨结肠镜检查回肠末段临床意义。方法单人操作结肠镜到达回肠末段1015例,发现回肠末段疾病118例,分析回肠末段疾病病因。结果回肠末段病变检出率11.6%,回肠末段炎最多,其次是回肠末段淋巴滤泡增生症、回肠克罗恩病、结核、淋巴瘤等;回肠末段病变同时合并结肠病变45例(占38.1%);结肠镜检查结肠未发现病变时,进入回肠末段有时发现病变;结合内镜表现、组织病理及临床表现作出回肠末段疾病的病因诊断,为治疗疾病提供依据。结论结肠镜到达回肠末段不仅是必要的,而且对正确地诊断和治疗回肠末段疾病有重要临床意义。[Objective] To investigate the clinical significance of colonscopy examing the terminal ileum, [Methods] Single-operating colonscopy reached the terminal ileum among 1 015 cases to find 118 cases with the diseases of terminal ileum, We analyzed the etiology of the diseases of terminal ileum. [Results] The rate of diseases of terminal ileum found out was 11.6 percent. The most was terminal ileum inflammation, and the rest was lymphofolliculosis, crohns, disease, tuberculosis and lymphoma etc. 45 cases （38,1 percent） were terminal ileum diseases with colon diseases. When colonscopy examined the colon without findings, reaching the terminal ileum sometimes could find loci. Adding up the results of endoscopy, tissue pathology and clinical presentation led to etiologic diagnosis of terminal ileum diseases and we could supply proof of therapy for them. [Conclusion] Colonscopy reaching the terminal ileum not only is necessary but also made clinical significance to diagnosing exactly the terminal ileum diseases and treating them.

关 键 词：结肠镜 回肠末段 疾病 诊断 

分 类 号：R608[医药卫生—外科学]