摘要
文章研究分析了1980年1月～1996年6月间我院经手术及病理证实的24例克隆病的内镜特征。结果显示该组有典型克隆病内镜特征的患者仅占40％,肠道狭窄为该组克隆病的最常见的内镜表现。在排除恶性肿瘤后,节段性肠道狭窄支持克隆病的诊断。圆形溃疡几乎和裂隙状溃疡同样常见,前者可能是克隆病的早期内镜表现之一。多次、多处及深凿活检有助于提高肉芽肿的检出率。结论:具有典型克隆病内镜特征的克隆病患者并非多数,圆形溃疡与裂隙状溃疡一样常见;正确的活检方法是提高该病诊断率的关键。
From January 1980 to June 1996, the endoscopic features of 24 patients with Crohn's disease were analysed. Only 40% of the patients had endoscopic features which are typical of Crohn's disease. The most common endoscopic findings were intestinal strictures which, if malignancy were ruled out, might support a diagnosis of Crohn's disease. The frequency of round ulcers was almost equal to that of linear ulcers and might be one of the early endoscopic manifestations of Crohn's disease. Multiple and large biopsies were useful in obtaining information pertaining to a higher incidence of granulomas. Adequate biopsy methods may play a key role in the diagnosis of Crohn's disease.
出处
《中国内镜杂志》
CSCD
1997年第1期19-20,28,共3页
China Journal of Endoscopy
关键词
克隆病
内镜
诊断
肠疾病
Crohn's disease
Endoscopy
diagnosis
