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终端阴道的临床特征和病因学:一项回顾性研究
Nomingerel Tseveldorj1, Cemre Gündüz2, Yaşar Ozan Saraçoğlu2
1Department of Gastroenterology, Başkent University Faculty of Medicine, Ankara, Türkiye.
概括
并非所有终端阴道都表明克罗恩病 (CD). 许多非特异性的表现是活跃的乳头炎,这表明重复的结肠镜检查可能并不总是必要的治愈. 建议进行进一步的调查.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 病理学 病理学 病理学
背景情况:
- 终端阴道有不同的病因,包括克罗恩病 (CD),感染和药物副作用.
- 准确的诊断对于适当的患者管理和治疗策略至关重要.
研究的目的:
- 为了确定在结肠镜检查期间发现的终端阴茎的发生率和原因.
- 分析这些的临床,内镜和组织病理特征.
- 为了确定后续需求的预测因素.
主要方法:
- 2009-2019年接受结肠镜检查的患者病历的回顾性审查.
- 包括患有终端白血球的患者,有或没有白血球的参与.
- 分析人口统计数据,药物使用,症状,结肠镜检查结果和病原体学.
主要成果:
- 包括398名患者;61%患有活跃的乳头炎,17.4%患有慢性活跃的乳头炎.
- 诊断包括非特异性 (53.3%),CD (16.6%) 和NSAID诱导的 (14.6%).
- 对CD的预测因素是众多 (≥10),深和 edematous 组织 (所有P < .001).
结论:
- 终端阴道经常是不特定的,可能表现为活跃的阴道炎,不一定表明克罗恩病.
- 临床和内镜特征,如众多的深和周围的,是CD的重要预测因素.
- 需要重新考虑重复的结肠镜检查有活性的结肠炎的.
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