Lipson A, Bartram C I, Williams C B, Slavin G, Walker-Smith J
Department of Paediatric Gastroenterology, St Bartholomew's Hospital, West Smithfield, London.
Clin Radiol. 1990 Jan;41(1):5-8. doi: 10.1016/s0009-9260(05)80922-5.
The findings on barium follow through, ileoscopy and biopsy of the terminal ileum in 46 children with suspected chronic inflammatory bowel disease have been compared to the final clinical diagnosis. Ileoscopy and barium follow through agreed in 91%, barium follow through and biopsy in 80% and barium follow through, ileoscopy and biopsy in 76% of cases. A pronounced lymphoid hyperplasia pattern was present radiologically in 24%, and was a source of error in two cases. Barium follow through compared favourably to ileoscopy or biopsy individually, detecting 18 of 20 and 17 of 20 cases respectively; however, ileoscopy combined with biopsy diagnosed every case. The sensitivity of the barium follow through was 0.90 with a specificity 0.96 for the diagnosis of Crohn's disease in the terminal ileum.
对46例疑似慢性炎症性肠病患儿进行了钡剂通过试验、回肠镜检查及回肠末端活检，并将结果与最终临床诊断进行了比较。回肠镜检查与钡剂通过试验结果相符的占91%，钡剂通过试验与活检结果相符的占80%，钡剂通过试验、回肠镜检查与活检结果均相符的占76%。24%的病例在放射学上表现为明显的淋巴样增生模式，有2例因此出现诊断错误。钡剂通过试验分别与回肠镜检查或活检相比效果良好，分别检测出20例中的18例和20例中的17例；然而，回肠镜检查联合活检能诊断出每一例病例。钡剂通过试验对回肠末端克罗恩病诊断的敏感性为0.90，特异性为0.96。
