双气囊小肠镜鉴别诊断克罗恩病与小肠结核的价值  

Differential diagnostic values of double-balloon enteroscopy in Crohn's disease and intestinal tuberculosis

作　　者：唐少波[1] 袁海锋[1] 覃黎葵[1] 

机构地区：[1]广西中医学院瑞康医院消化内科,广西壮族自治区南宁市530011

出　　处：《世界华人消化杂志》2007年第19期2159-2161,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨双气囊小肠镜在克罗恩病与小肠结核鉴别诊断中的价值.方法:对38例临床怀疑小肠克罗恩病、小肠结核的患者进行小肠镜检查.内镜诊断与病理和临床随访相结合,评价双气囊小肠镜在两种疾病鉴别诊断中的应用价值.结果:在38例患者中,经病理和临床随访确诊克罗恩病18例,小肠结核20例.经双气囊小肠镜检查诊断为小肠克罗恩病14例,检出率36.8%(14/38),符合率77.8%(14/18);小肠结核为18例检出率47.4%(18/38),符合率90.0%(18/20).结论:双气囊小肠镜是小肠克罗恩病与小肠结核鉴别诊断较为理想的方法,并能对病变范围和严重程度作出正确的判断.用。AIM： To investigate the differential diagnostic values of double-balloon enteroscopy in Crohn＇s disease and intestinal tuberculosis. METHODS： Thirty-eight suspected obscure intestinal tuberculosis and Crohn＇s disease patients underwent double-balloon enteroscopy examination. Endoscopic diagnosis, pathology and clinical follow-up were used to evaluate the value of double-balloon enteroscopy in the diagnosis of the two diseases. RESULTS： Of the Thirty-eight patients, eighteen with Crohn＇s disease and 20 with intestinal tuberculosis were positively diagnosed by pathology and clinical follow-up. Fourteen with Crohn＇s disease and eighteen with intestinal tuberculosis were diagnosed by double-balloon enteroscopy. The detection rate was 36.8 % for Crohn＇s disease （14/38）, with a coincidence rate of 77.8% （14/18）, while the detection rate for intestinal tuberculo- sis was 47.4% （18/38）, with a coincidence rate of 90.0% （18/20）. CONCLUSION： Double-balloon enteroscopy is a good way to aid differential diagnosis of intestinal tuberculosis and Crohn＇s disease, and to correctly judge the extent and severity of intestinal tuberculosis and Crohn＇s disease lesions.

关 键 词：双气囊小肠镜 克罗恩病 肠结核 鉴别诊断 

分 类 号：R574[医药卫生—消化系统] R524[医药卫生—内科学]