回盲部病变诊断的研究进展  

Progress in the diagnosis of ileocecal lesions

作　　者：孔文霞[1] 高青[1] 

机构地区：[1]重庆医科大学附属第一医院消化内科,重庆市400016

出　　处：《世界华人消化杂志》2012年第25期2382-2387,共6页World Chinese Journal of Digestology

摘　　要：回盲部包括回盲瓣、回肠末段、盲肠、阑尾及升结肠始段,该部位可受到来自消化系及其以外的各种致病因素的影响,是多种肠道疾病的好发部位,鉴别诊断困难,其诊断需病史、临床特征、影像学及内镜病检的综合支持.随着各种新的影像及内镜技术的发展,回盲部疾病的检出率在不断提高.本文将综合对回盲部病变的内镜及影像学检查及相应的优势及劣势进行综述,为临床医师在诊治该部位病变时提供参考.The ileocecal area includes the ileocecal valve, terminal ileum, cecum, appendix, and top as- cending colon. Since this area may be affected by pathologic conditions that are either com- mon throughout the gastrointestinal system or exclusive to this area, a great variety of intestinal diseases may arise in this region, making the diagnosis of ileocecal lesions difficult. In clinic, the diagnosis of ileocecal lesions depends on the combination of disease history, clinical features, imaging and endoscopic findings. The develop- ment of advanced imaging and endoscopy tech- nology has greatly increased the detection rate of ileocecal lesions. In this review, we discuss the use of imaging and endoscopic examinations for evaluation of ileocecal area to help ensure ac- curate diagnosis and appropriate treatment.

关 键 词：回盲部病变 影像技术 内镜检查 诊断 

分 类 号：R656.7[医药卫生—外科学]