多层螺旋CT小肠造影与双气囊小肠内镜判断小肠克罗恩病活动度的价值

The clinical value of MSCTE and DBE in evaluating activity of small bowel Crohn's disease

目的研究多层螺旋CT小肠造影(MSCTE)和双气囊小肠内镜(DBE)在小肠克罗恩病(CD)的诊断和判断其活动度的价值。方法选取经临床确诊的32例小肠CD患者,分别进行MSCTE检查和DBE检查并作出诊断和分析,比较两种方法在诊断小肠CD,判断病变位置、范围、活动度和并发症方面的能力。结果 MSCTE与DBE对小肠CD确诊率相似,两者比较,差异无统计学意义(P>0.05)。对于显示并发症的能力,MSCTE明显优于DBE。结论 MSCTE是诊断小肠CD的首选辅助检查,能判断炎症是否处于活动期及发现肠腔外并发症,而且能指导DBE的进镜方式,与DBE联合应用有利于诊断和评价小肠CD患者的炎症活动度,指导临床治疗。

Objective To explore the value of muhislice CT enterography （MSCTE） and double-balloon enteroscopy （DBE） in diagnosis of small bowel Crohn＇ s disease （CD） and evaluating activity of small bowel CD. Methods Thir- ty-two consecutive small bowel CD patients were enrolled. The patients were underwent MSCTE and DBE, and the re- sults of MSCTE and DBE were analyzed. The value of diagnosis, evaluating lesion extent, activity and complications of two methods were compared. Results There was no significant difference in overall diagnostic accuracy of small bowel CD between two methods （P 〉 0.05）. MSCTE was better in the diagnosis of complications than DBE. Conclusion MSCTE can serve as a chief adjuvant diagnostic method in the diagnosis of small bowel CD. MSCTE could accurately di- agnose activity and complications in small bowel CD and guide the method of DBE. MSCTE combined with DBE have advantages in evaluating activity and guide the clinical therapy of small bowel CD.