在结肠镜检查过程中发现的乳膜病变的诊断价值,参考内镜指示和发现
Dae Sung Kim1, Ji Eun Ryu2, Jieun Shin3,4
1Division of Gastroenterology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 35365, Republic of Korea.
在结肠镜检查过程中,对异常的终端结肠病变的活检可以诊断出重大疾病,特别是在怀疑炎症性肠病或特定症状 (如贫血或右下象限疼痛) 的患者中. 诸如或质体之类的发现增加了疾病的可能性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 诊断病理学的诊断病理学
背景情况:
- 立视镜的诊断效用仍在争论中,常规使用具有争议.
- 鉴定终端结核 (TI) 中重要的疾病往往依赖于活检结果.
研究的目的:
- 为了评估从宏观异常TI病变的活检的诊断价值.
- 为了确定内镜指示,粗略发现和重大疾病存在之间的关联.
主要方法:
- 在结肠镜检查期间进行TI活检的551名患者 (2000-2019年) 的回顾性分析.
- 活检结果与内镜指示和宏观发现的相关性.
- 需要进一步调查或治疗的重大疾病的定义.
主要成果:
- 8.0%的TI活检揭示了重大疾病.
- 在疑似炎症性肠病 (IBD) (50.0%),贫血 (31.6%),右下象限疼痛 (28.6%) 和TI放射性异常 (27.5%) 的患者中观察到高疾病频率.
- 克罗恩病 (CD) 经常被诊断为怀疑IBD的患者. ,质,息肉和膜异常与更高的显著疾病发病率有关,特别是CD.
结论:
- 异常TI病变的活检对于诊断重大疾病非常有价值.
- 特定的征兆 (怀疑IBD,贫血,RLQ疼痛,放射学发现) 和内镜发现 (,质量,息肉,ICV异常) 预测重大疾病的可能性更高,指导进一步的治疗.
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