双气囊小肠镜鉴别诊断克罗恩病与小肠结核的价值

目的: 探讨双气囊小肠镜在克罗恩病与小肠结核鉴别诊断中的价值.方法:对38例临床怀疑小肠克罗恩病、小肠结核的患者进行小肠镜检查. 内镜诊断与病理和临床随访相结合, 评价双气囊小肠镜在两种疾病鉴别诊断中的应用价值.结果: 在38例患者中, 经病理和临床随访确诊克罗恩病18例, 小肠结核20例. 经双气囊小肠镜检查诊断为小肠克罗恩病14例, 检出率36.8%(14/38), 符合率77.8%(14/18);小肠结核为18例检出率47.4%(18/38), 符合率90.0%(18/20).结论:双气囊小肠镜是小肠克罗恩病与小肠结核鉴别诊断较为理想的方法, 并能对病变范围和严重程度作出正确的判断.

Differential diagnostic values of double-balloon enteroscopy in Crohn's disease and intestinal tuberculosis

AIM: To investigate the differential diagnostic values of double-balloon enteroscopy in Crohn's disease and intestinal tuberculosis.METHODS: Thirty-eight suspected obscure intestinal tuberculosis and Crohn's disease patients underwent double-balloon enteroscopy examination. Endoscopic diagnosis, pathology and clinical follow-up were used to evaluate the value of double-balloon enteroscopy in the diagnosis of the two diseases.RESULTS: Of the Thirty-eight patients, eighteen with Crohn's disease and 20 with intestinal tuberculosis were positively diagnosed by pathology and clinical follow-up. Fourteen with Crohn's disease and eighteen with intestinal tuberculosis were diagnosed by double-balloon enteroscopy. The detection rate was 36.8% for Crohn's disease (14/38), with a coincidence rate of 77.8% (14/18), while the detection rate for intestinal tuberculosis was 47.4% (18/38), with a coincidence rate of 90.0% (18/20).CONCLUSION: Double-balloon enteroscopy is a good way to aid differential diagnosis of intestinal tuberculosis and Crohn's disease, and to correctly judge the extent and severity of intestinal tuberculosis and Crohn's disease lesions.