摘要
目的探讨结肠镜联合病理学检查对结直肠溃疡病因的诊断价值。方法选取2019年3月至2021年3月于本院接受治疗的200例结直肠溃疡患者作为研究对象,均接受结肠镜检查、病理学检查,以临床问诊、全身健康检查诊断结果为金标准。比较结肠镜检查、病理学联合检查的鉴别诊断价值。结果病理学联合检查综合检出率为94.00%,高于结肠镜检查的43.50%,差异有统计学意义(P<0.05)。病理学联合检查诊断对肠结核、克罗恩病、溃疡性结肠炎、细菌性痢疾、阿米巴感染、大肠癌及综合检出率均高于结肠镜检查,差异有统计学意义(P<0.05)。结论结肠镜联合病理学检查可有效提高结直肠溃疡患者检出率,有效鉴别其发病原因,具有较高诊断价值,利于后期疾病治愈,值得临床推广应用。
Objective To explore the diagnostic value of colonoscopy combined with pathology in the etiology of colorectal ulcer.Methods A total of 200 cases of colorectal ulcers treated in our hospital from March 2019 to March 2021 were selected as the research subjects,all patients underwent colonoscopy and pathological examination,the diagnostic results of clinical inquiry and systemic health examination were the gold standard.The differential diagnostic value of colonoscopy and pathological examination were compared.Results The comprehensive detection rate in the pathological combined examination was 94.00%,which was higher than 43.50%in the colonoscopy,and the difference was statistically significant(P<0.05).The combined pathological examination diagnosis of intestinal tuberculosis,Crohn's disease,Ulcerative colitis,bacillary dysentery,amoeba infection,colorectal cancer and the comprehensive detection rate were higher than in the colonoscopy,the differences were statistically significant(P<0.05).Conclusion Colonoscopy combined with pathology can effectively improve the detection rate of colorectal ulcer patients,effectively identify the causes of its onset,with high diagnostic value,which is conducive to the cure of later diseases,and is worthy of clinical promotion and application.
作者
熊金金
XIONG Jinjin(Department of Pathology,Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi,332300,China)
出处
《当代医学》
2023年第17期155-157,共3页
Contemporary Medicine
关键词
结肠镜
病理学检查
结直肠溃疡
诊断价值
Colonoscopy
Pathological examination
Colorectal ulcer
Diagnostic value
