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目的:探讨胶囊内镜联合血液学检测诊断小肠克罗恩病的临床价值。方法:本次研究的40例经术后病理活检证实的克罗恩病患者均为本院在2012年3月-2015年9月收治,将其作为观察组,并分别进行胶囊内镜联合血液学检查与螺旋计算机断层扫描(CT)检查,同期选取30例健康体检者作为对照组,比较两种诊断方法的诊断准确率及两组患者的血清白蛋白、血红蛋白和C-反应蛋白水平。结果:胶囊内镜对于小肠多发粘膜糜烂、小肠多发溃疡和结肉芽结节样病变的诊断准确率均高于螺旋CT(P<0.05);同时,胶囊内镜联合血液检测法对于小肠克罗恩病的诊断准确率是95.00%,明显高于螺旋CT的70.00%,两种检查方法的诊断准确率比较差异有统计学意义(P<0.05)。结论:胶囊内镜联合血液学检测诊断小肠克罗恩病有较好的临床价值,胶囊内镜的诊断准确率较高,而血液学检查可为临床确诊提供重要线索。
Objective: To investigate the clinical value of capsule endoscopy combined with hematology in the diagnosis of small bowel Crohn’s disease. Methods: 40 cases of Crohn’s disease confirmed by postoperative pathology biopsy in this study were treated in our hospital from March 2012 to September 2015, which were treated as observation group and capsule endoscopy combined with blood 30 cases of healthy subjects were selected as the control group. The diagnostic accuracy of the two diagnostic methods and serum albumin, hemoglobin and C-reactive protein levels were compared between the two groups. Results: The diagnostic accuracy of capsule endoscopy for mucosal erosions of small intestine, multiple ulcer of small intestine and nodular lesions of conjunctival granuloma were all higher than that of spiral CT (P <0.05). At the same time, capsule endoscopy combined with blood test The diagnostic accuracy of the disease was 95.00%, which was significantly higher than that of spiral CT (70.00%). The diagnostic accuracy of the two methods was significantly different (P <0.05). Conclusion: Capsule endoscopy combined with hematology detection of small bowel Crohn’s disease has better clinical value, capsule endoscopy diagnostic accuracy rate higher, and hematology examination can provide important clues for clinical diagnosis.