Zhou Z Y, Luo H S
Department of Internal Medicine, Renmin Hospital of Wuhan University, HuBei, China.
Int J Clin Pract. 2006 Feb;60(2):212-4. doi: 10.1111/j.1742-1241.2006.00702.x.
To evaluate the values of clinical findings in differential diagnosis between Crohn's disease (CD) and intestinal tuberculosis (ITb), so that better diagnosis strategies could be found, we analysed the records of 30 patients with ITb and 30 patients with CD retrospectively. We reviewed the cardinal symptomatic and physical, radiological, colonoscopic, pathological findings in the patients. Some cardinal symptomatic and physical, radiographic and colonscopic features of CD and ITb were positive correlation. Its Pearson correlation coefficients were 0.976, 0.953 and 0.961, respectively (p = 0.000, 0.003 and 0.000). Some histological features of CD and ITb had no correlation. Its Pearson correlation coefficient was 0.140 (p = 0.765). It is difficult to differentiate CD from ITb in clinical practice. The differential diagnosis depends largely upon colonoscopy and histopathology.
为评估临床检查结果在克罗恩病（CD）与肠结核（ITb）鉴别诊断中的价值，以便找到更好的诊断策略，我们回顾性分析了30例肠结核患者和30例克罗恩病患者的病历。我们复查了患者的主要症状、体格检查、影像学、结肠镜及病理检查结果。克罗恩病和肠结核的一些主要症状、体格检查、影像学及结肠镜特征呈正相关。其Pearson相关系数分别为0.976、0.953和0.961（p = 0.000、0.003和0.000）。克罗恩病和肠结核的一些组织学特征无相关性。其Pearson相关系数为0.140（p = 0.765）。在临床实践中，很难将克罗恩病与肠结核区分开来。鉴别诊断很大程度上依赖于结肠镜检查和组织病理学检查。
