传统结肠镜检查（CC）漏诊但CT结肠成像（CTC）显示的扁平病变：图文综述

Flat lesions missed at conventional colonoscopy (CC) and visualized by CT colonography (CTC): a pictorial essay.

作者信息

Coppola Francesca, Regge Daniele, Flor Nicola, Papadopoulos Dimitris, Golfieri Rita

机构信息

Radiology Unit, Department of Digestive Disease and Internal Medicine, S. Orsola Malpighi Hospital, Bologna, Italy,

出版信息

Abdom Imaging. 2014 Feb;39(1):25-32. doi: 10.1007/s00261-013-0052-2.

DOI:10.1007/s00261-013-0052-2

PMID:24337547

Abstract

The purpose of this study is to describe our experience with cases of false negative findings at conventional colonoscopy (CC) that were identified by CT colonography (CTC). Conventional colonoscopy (CC) is the universally accepted gold-standard technique for the diagnosis of colonic polyps and cancers, however occasionally this method can generate false negative findings. We present examples of false negatives at CC, correctly identified by CT colonography (CTC), and later confirmed at a second endoscopy, describing the reasons of false negative, when possible.

摘要

本研究的目的是描述我们在经CT结肠成像（CTC）发现的传统结肠镜检查（CC）假阴性病例方面的经验。传统结肠镜检查（CC）是诊断结肠息肉和癌症普遍接受的金标准技术，然而，这种方法偶尔会产生假阴性结果。我们展示了CC检查中假阴性的例子，这些病例经CT结肠成像（CTC）正确识别，并在第二次内镜检查时得到证实，同时尽可能描述假阴性的原因。