通过双气球内镜评估克罗恩病的症状小肠狭窄
Jing Hu1, Juan Wu1, Peipei Zhang1
1Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University, No. 218 Jixi Road, Shushan District, Hefei, 230022, Anhui Province, People's Republic of China.
双气球内镜 (DBE) 在克罗恩病 (CD) 患者中有效检测小肠狭窄. 在不同的阻塞性得分中,诊断收益率相似,显示DBE.
科学领域:
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
- 内镜检查是指内镜检查.
背景情况:
- 克罗恩氏病 (CD) 经常导致小肠狭窄,影响患者的生活质量.
- 精确检测这些狭窄性对于有效管理至关重要.
研究的目的:
- 评估双气球内镜 (DBE) 的诊断效果,以确定克罗恩病患者小肠收缩的诊断效果.
- 为了比较DBE的诊断产量与计算机断层扫描 (CTE).
主要方法:
- 一项涉及165名克罗恩病患者的队列研究,怀疑小肠狭窄.
- 使用计算机断层扫描 (CTE) 和双气球内镜 (DBE) 进行顺序评估.
- 使用克罗恩氏病阻塞评分 (CDOS) 评估狭窄症的严重程度,并分析影响DBE诊断的因素.
主要成果:
- 双气球内镜 (DBE) 检测到92.7%的狭窄,超过计算机断层扫描 (CTE) 85.5%.
- 不管阻塞性得分如何,DBE的诊断收益率很高 (94.7%在高CDOS,91.4%在低CDOS).
- 在多变量分析中,腹部手术和的病史与较低的诊断率有关.
结论:
- 双气球内镜 (DBE) 是诊断小肠收缩在克罗恩病 (CD) 患者的有效工具.
- 阻塞性症状的严重程度不会显著影响DBE的诊断性能.
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