电子结肠镜检查回肠末段的临床意义  

Clinical significance of terminal ileum examination by electronic colonoscopy

作　　者：廖锦文 申文莉 吴兰 龙文秀 Liao Jinwen;Shen Wenli;Wu Lan;Long Wenxiu(Department of Gastroenterology,Peopled Hospital of Jianyang,Jianyang,Sichuan 641400,China)

机构地区：[1]简阳市人民医院消化内科,四川简阳641400

出　　处：《现代临床医学》2020年第5期358-359,367,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨电子结肠镜常规检查回肠末段的临床意义。方法:回顾性分析我院2015年2月至2019年8月电子结肠镜检查回肠末段病例的检查结果。结果:共检查5165例,发现回肠末段疾病543例,其中回肠末段炎452例、回肠末段淋巴滤泡增生症60例、回肠末段息肉病7例、回肠结核7例、回肠克罗恩病6例、回肠末段脂肪瘤2例、回肠钩虫病1例,提示小肠出血8例。这543例中,同时合并大肠病变的357例查见回肠末段疾病的比例为11.35%(357/3145),无大肠病变的186例查见回肠末段疾病的比例仍有9.21%(186/2020)。结论:电子结肠镜检查时应常规检查回肠末段,及时发现异常并进行病理活检明确诊断,对早期治疗回肠末段疾病具有重要的临床意义。Objective:To explore the clinical significance of terminal ileum examination by electronic colonoscopy.Methods:A retrospective analysis was made on examination results of terminal ileum by electronic colonoscopy in 5699 cases in our hospital.Results:A total of 5165 cases were examined and 543 cases of terminal ileal diseases were found,including 452 cases of terminal ileitis,60 cases of terminal ileal lymphofollicular hyperplasia,7 cases of terminal ileal polyposis,7 cases of ileal tuberculosis,6 cases of ileal Crohn’s disease,2 cases of terminal ileal lipoma and 1 case of ileal ancylostomiasis.Among these 543 cases,the proportion of 357 cases with colorectal lesions was 11.35%(357/3145),and the proportion of 186 cases without colorectal lesions was still 9.21%(186/2020).Conclusion:During electronic colonoscopy,routine examination of terminal ileum should be carried out.Timely detection of abnormalities and make a clear diagnosis by pathological biopsy is of great clinical significance for the early treatment of terminal ileum diseases.

关 键 词：电子结肠镜 回肠末段 临床意义 

分 类 号：R574.5[医药卫生—消化系统]