双气囊小肠镜诊断小肠克罗恩病的临床价值

The diagnostic value of double-balloon enteroscopy in crohn's disease

目的探讨小肠克罗恩病经双气囊小肠镜诊断的临床价值。方法对56例临床疑似小肠克罗恩病患者行双气囊小肠镜检查,并与先前的插管法小肠钡餐灌肠的检查结果进行比较分析,经病理和临床随诊确诊后,比较两种方法诊断小肠克罗恩病的准确率。结果 56例疑似患者经双气囊小肠镜检查最终确诊为小肠克罗恩病50例(89.3%),经病理和临床随诊后均确诊为小肠克罗恩病,其中38例患者首选经肛门行小肠镜检,诊断为克罗恩病29例(76.3%),未明确诊断的9例患者经口腔进镜,发现病变患者7例(66.6%);18例患者首选经口腔进镜,诊断为克罗恩病10例(55.6%),未明确诊断的8例患者经肛门进镜发现病变者5例(62.5%)。56例患者行小肠钡餐灌肠检查,有32例诊断或疑似克罗恩病,诊断率为57.1%,行双气囊小肠镜确诊26例,准确率为81.3%(26/32)。结论双气囊小肠内镜是诊断小肠克罗恩病较为理想的方法,通过经口腔和经肛门结合进镜能对病变范围和严重程度作出较为正确的诊断。

Objective To study the diagnostic value of double-balloon enteroscopy in Crohn＇s disease.Methods 56 cases of suspected crohn＇s disease underwent double-balloon enteroscopy inspection compared with the previous intubation enema inspection of the small intestine.After confirmed diagnosis via pathological and clinical follow-up,the accurate rate of two methods to diagnose intestinal crohn＇s disease was analyzed and compared.Results 56 cases of suspected crohn＇s disease were confirmed via pathological and clinical follow-up;50 patients（89.3%） in 56 cases were diagnosed with double-balloon enteroscopy inspection;including 38 patients preferred enteroscopy inspection of the small intestine through anal,29 patients（76.3%） were diagnosed,and 7 cases（66.6%） were found via oral into mirror in the undiagnosed 9 patients;10 patients（55.6%） in 18 cases were diagnosed by oral into lens,and 5 cases（62.5%） were found with enteroscopy inspection through anal in the undiagnosed 8 patients.56 patients underwent intestinal enema check and 32（57.1%） were diagnosed;32 patients underwent double-balloon enteroscopy and 26（81.3%） were diagnosed.Conclusion Double-balloon intestinal endoscopy is an ideal diagnostic method of Crohn＇s disease,and the extent and severity of the disease can get more accurate diagnosis Through the combination of oral and through the anus into the mirror.