双气囊小肠镜与CT小肠造影对肠克罗恩病的诊断价值

中华消化内镜杂志 Pub Date : 2019-08-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.08.008

Jiena Xu, Weilin Ou, Qixiang Li

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引用次数: 0

摘要

目的探讨双气囊小肠镜和CT小肠造影对肠克罗恩病(CD)的诊断价值。方法回顾性分析125例疑似CD患者行双气囊肠镜及CT肠镜检查的资料。根据病理、内镜检查和临床随访结果作出诊断。比较双气囊小肠镜与CT小肠造影对肠CD的检出率和诊断率。结果双球囊内镜对肠道CD的检出率和诊断率分别为62.4%(78/125)和94.8%(74/78)。双气囊小肠镜诊断肠道CD的敏感性为100.0%，特异性为92.2%，准确性为96.8%。CT肠造影对肠道CD的检出率和诊断率分别为44.8%(56/125)和89.3%(50/56)。CT肠造影诊断肠道CD的敏感性、特异性和准确性分别为67.6%、88.2%和76.0%。双气囊肠镜检查对肠CD的检出率和诊断率均高于CT肠镜检查。结论双球囊肠镜检查对小肠CD的诊断具有较高的应用价值，但在肠镜检查前进行CT肠镜检查可以指导内镜入路的选择，减少经济支出，减轻患者的痛苦，因此CT肠镜检查可作为肠镜禁忌症的肠CD患者的首选。关键词:克罗恩病;诊断;双气囊小肠镜;CT enterography

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Diagnostic value of double-balloon enteroscopy and CT enterography for Crohn disease in intestine

Objective To investigate the value of double-balloon enteroscopy and CT enterography for the diagnosis of intestinal Crohn disease(CD). Methods Data of 125 patients with suspected CD undergoing double-balloon enteroscopy and CT enterography were reviewed. Diagnosis was made based on pathological, endoscopic findings and clinic follow-up results. Detection rates and diagnostic rates of double-balloon enteroscopy and CT enterography for intestinal CD were compared. Results The detection and diagnostic rates of intestinal CD by double-balloon endoscopy were 62.4%(78/125)and 94.8% (74/78), respectively. The sensitivity, specificity and accuracy of double-balloon enteroscopy in the diagnosis of intestinal CD were 100.0%, 92.2% and 96.8%, respectively. The detection and diagnostic rates of intestinal CD by CT enterography were 44.8%(56/125) and 89.3% (50/56) , respectively. The sensitivity, specificity and accuracy of CT enterography in the diagnosis of intestinal CD were 67.6%, 88.2% and 76.0%, respectively. Both the detection rate and the diagnostic rate of double-balloon enteroscopy in intestinal CD were higher than those of CT enterography. Conclusion Double-balloon enteroscopy shows high application value for the diagnosis of intestinal CD, but CT enterography before enteroscopy can guide the selection of endoscopic approach, reduce economic expenditure and alleviate patients′ pain, so CT enterography could be the first choice for intestinal CD patients with contraindications of enteroscopy. Key words: Crohn disease; Diagnosis; Double-balloon enteroscopy; CT enterography

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.