论文部分内容阅读
目的:探讨双气囊小肠镜在克罗恩病与小肠结核鉴别诊断中的价值.方法:对38例临床怀疑小肠克罗恩病、小肠结核的患者进行小肠镜检查.内镜诊断与病理和临床随访相结合,评价双气囊小肠镜在两种疾病鉴别诊断中的应用价值.结果:在38例患者中,经病理和临床随访确诊克罗恩病18例,小肠结核20例.经双气囊小肠镜检查诊断为小肠克罗恩病14例,检出率36.8%(14/38),符合率77.8%(14/18);小肠结核为18例检出率47.4%(18/38),符合率90.0%(18/20).结论:双气囊小肠镜是小肠克罗恩病与小肠结核鉴别诊断较为理想的方法,并能对病变范围和严重程度作出正确的判断.用,变范动性瘘狭判断大的
Objective: To investigate the value of double-balloon enteroscopy in the differential diagnosis between Crohn’s disease and small intestine tuberculosis.Methods: 38 cases of Crohn’s disease and small intestine tuberculosis were enrolled in this study.Endoscopy was associated with pathology and clinical To evaluate the value of double balloon enteroscopy in the differential diagnosis of two diseases.Results: In 38 patients, 18 cases of Crohn’s disease and 20 cases of small bowel tuberculosis were confirmed by pathology and clinical follow-up.After double-balloon small intestine The diagnosis of intestinal small bowel Crohn’s disease in 14 cases, the detection rate was 36.8% (14/38), the coincidence rate of 77.8% (14/18); small intestine tuberculosis was detected in 18 cases 47.4% (18/38) Rate of 90.0% (18/20) .Conclusion: Double balloon enteroscopy is an ideal method for the differential diagnosis of small bowel Crohn’s disease and small intestine tuberculosis, and can make a correct judgment of the extent and severity of the lesion. Strict narrow fistula judgment