双气囊小肠镜在小肠克罗恩病中的诊断价值研究  

Diagnostic value of double-balloon enteroscopy for small bowel Crohn disease

作　　者：王小璇[1] 杜奕奇[1] 陈洁[1] 徐灿[1] 廖专[1] 生晶[2] 吴仁培[1] 席惠君[1] 李兆申[1] 

机构地区：[1]第二军医大学长海医院消化内科,上海200433 [2]第二军医大学长海医院消放射科,上海200433

出　　处：《中华消化内镜杂志》2012年第3期144-147,共4页Chinese Journal of Digestive Endoscopy

摘　　要：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CD128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CD19例，检出率为76．O％（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CD15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。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-bal- loon 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 en- teroscopy, CT enterography and capsule endoscopy. Results The detection and diagnosis rates of small bow- el 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 endos- copy were 60. 0% （15/25） and 93.3% （14/15）. Conclusion Double balloon enteroscopy has high appli- cation value for the diagnosis of small bowel CD. For those contraindicated with endoscopy, CT enterography can be considered as a preferred auxiliary diagnostic modality.

关 键 词：CROHN病 诊断 胶囊内窥镜 双气囊小肠镜 CT小肠成像 

分 类 号：R574[医药卫生—消化系统]