4例疑诊隐源性多灶性溃疡性狭窄性小肠炎临床分析  

Clinical analysis in 4 cases of suspected diagnosis of cryptogenic multifocal ulcerous stenosing enteritis

作　　者：黄健[1] 黄群[1] 徐平如[1] 李俊达[1] 

机构地区：[1]广东医学院附属福田人民医院消化内科,广东深圳518033

出　　处：《胃肠病学和肝病学杂志》2012年第6期544-546,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的提高临床医师对隐源性多灶性溃疡性小肠炎(cryptogenic multifocal ulcerous stenosing enteritis,CMUSE)的认识。方法回顾性分析2007年-2010年本院4例临床疑似诊断CMUSE患者的临床资料。结果 4例患者平均年龄(35.25±11.79)岁,以腹痛,排黑便症状为主。患者实验室检查有贫血症状,炎症指标均正常。内镜下见空肠或回肠多发的环行溃疡,溃疡处伴肠腔狭窄,相邻溃疡病灶之间的黏膜形态正常。病理诊断:黏膜及黏膜下层的浅溃疡。结论 CMUSE是一种小肠多发的,以黏膜及黏膜下层的浅溃疡为主的病变。Objective To enhance the understanding of cryptogenic multifocal ulcerous stenosing enteritis （CMUSE）. Methods Clinical and laboratory data of 4 patients with suspected diagnosis of CMUSE in our hospital from 2007 to 2010 were analyzed retrospectively. Results Four patients aged （35.25 ± 11.79） years were admitted with main complain of abdominal pain and melena. Laboratory data showed anemia. Serum chronic inflammatory indices were normal. The endoscopy showed multiple shallow demarcated ulcers limited in the jejunum or ileum with a circular shape. The margins of ulcers were clear and intervening mucosa was normal. Stenosis could be seen in the ulcers. The histologic feature of CMUSE was the shallow ulcer which involved only the mucosa and submucosa. Conclusion CMUSE is a disease characterized by muhifocal stenosing small-intestinal shallow ulceration.

关 键 词：小肠溃疡 小肠疾病 狭窄 双气囊小肠镜 

分 类 号：R574.5[医药卫生—消化系统]