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目的探讨结肠镜检查在诊断肠易激综合征(IBS)中的意义。方法回顾分析2000年～2006年到我院就诊且疑诊肠易激综合征的936例病人,这些病人在肠镜检查前根据临床有关资料均提示为肠易激综合征,对这些病人的结肠镜检查结果进行了分析,以便评价肠镜检查在诊断IBS中的意义。结果936例疑诊肠易激综合征病人结肠镜结果正常的674例(72%),息肉76例(8.11%),溃疡性结肠炎34例(3.63%),血管畸形3例(0.32%),憩室2例(0.21%),黑变病1例(0.1%),寄生虫4例(0.43%),癌16例(1.7%),克罗恩病1例(0.1%)。不进行结肠镜检查仅根据临床上的其他资料诊断IBS的准确率为72%,而28%的病人存在结肠器质性病变,其中肿瘤性病变占9.81%。结论结肠镜检查是诊断IBS时排他性的必备检查。
Objective To investigate the significance of colonoscopy in the diagnosis of irritable bowel syndrome (IBS). Methods A retrospective analysis of 2000 to 2006 in our hospital for treatment of suspected irritable bowel syndrome and 936 cases of these patients before colonoscopy based on clinical data suggest that irritable bowel syndrome, these patients colon Microscopic examination results were analyzed in order to evaluate the significance of colonoscopy in the diagnosis of IBS. Results A total of 674 cases (72%) had colonoscopy results, 76 cases (8.11%) had polyps, 34 cases (3.63%) had ulcerative colitis, and 3 cases (3.32%) had vascular colon malformations in 936 suspected patients with irritable bowel syndrome , Diverticulum in 2 cases (0.21%), melanosis in 1 case (0.1%), parasite in 4 cases (0.43%), carcinoma in 16 cases (1.7%) and Crohn’s disease in 1 case (0.1%). Colonoscopy without diagnosis based on other clinical data on the accuracy of IBS was 72%, while 28% of patients with organic colon disease, of which tumor accounted for 9.81%. Conclusion Colonoscopy is an essential test for the diagnosis of IBS.