消化内镜在炎症性肠病诊治中的临床应用
【摘要】 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。【关键词】
炎性肠疾病；消化内镜；临床应用
The application of digestive endoscopes in diagnosis and treatment of inflammatory bowel disease
【Abstract】 Objective To discuss the application of digestive endoscopes in diagnosis and treatment of inflammatory bowel disease,and to provide the clinical evidence of the digestive endoscopes in diagnosis and treatment of inflamma tory bowel disease. Methods From July 2008 to July 2010,retrospective study was done on 45 cases of inflammatory bowel disease,and to sum up and evaluate the clinical value of digestive endoscopes. Results Microscopic examination showed the changes of the mucosal hyperemia,erosion,ulcer,edema,brittleness addition and susceptible to bleeding was reveal ed in diagnosis of inflammatory bowel disease. Compared with postoperative pathology,the total accuracy of endoscopes in diagnosis of inflammatory bowel disease was 84.44%.The accurate rate of UC and CD was 92.43% and 60%. Conclusion IBD had relative specificity and important value in the diagnosis of inflammatory bowel disease. ......
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