936例临床疑诊肠易激综合征病人的结肠镜结果分析

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。

The analysis of colonoscopy of patients with suspected irritable bowel syndrome

Objective To study significance of colonoscopy in diagnosis of IBS.Methods We investigated retrospectively 936 patients who were diagnosed IBS according to clinical data without colonoscopy in our hospital from 2000 to 2006. After those received colonoscopy, we analyzed those patients＇ colonoscopy to study significance of colonoscopy in diagnosis of IBS. Results 674 of 936 patients （72%） with suspected IBS was normal result of colonoscopy. But there were 262 （28%） with different diseases, 76 patients （8.11%） with polyp,34 （3.63%） ulcerative colitis,3（0.32%） vessel malformation,2 （0.21%） diverticulum, 1 （0.1%） metanism,4（0.43%） parasite,16（1.7%）cancer, 1 （0.1%）crohn＇s disease. So the patients with tumor were 9.81%. Conclusion The patients with suspected IBS should receive colonoscopy.