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目的探讨消化内镜在炎症性肠病诊治中的临床价值,为今后炎症性肠病的诊治提供临床依据。方法回顾性分析我院2008年7月至2010年8月收治的45例炎症性肠病(IBD)患者的临床资料,总结镜下所见并评价内镜诊断价值。结果镜下可见IBD患者黏膜充血、糜烂、溃疡、水肿、黏膜脆性增加及容易出血等变化,与手术后病检或上级医院诊断相比,内镜诊断准确性为84.44%,其中溃疡性结肠炎(UC)和克罗恩病(CD)的诊断准确性分别为92.43%和60%。结论内镜在IBD的诊断中有相对特异性,具有重要的临床价值。
Objective To investigate the clinical value of digestive endoscopy in the diagnosis and treatment of inflammatory bowel disease and provide the clinical evidence for the diagnosis and treatment of inflammatory bowel disease in the future. Methods The clinical data of 45 patients with inflammatory bowel disease (IBD) admitted from July 2008 to August 2010 in our hospital were analyzed retrospectively. The findings of endoscopic diagnosis and endoscopic diagnosis were summarized. Results The changes of mucosal congestion, erosions, ulcers, edema, mucosal fragility and hemorrhage in patients with IBD were observed under microscope. The diagnostic accuracy of endoscopy was 84.44% compared with the postoperative pathological examination or the superior hospital diagnosis. The ulcerative colitis (UC) and Crohn’s disease (CD) were 92.43% and 60% respectively. Conclusion Endoscopy is relatively specific in the diagnosis of IBD and has important clinical value.