Gilchrist A M, Mills J O
Ulster Med J. 1989 Oct;58(2):124-30.
A retrospective study was made of 100 consecutive dedicated per-oral small bowel examinations. 33% of the studies were abnormal, of which almost half were due to Crohn's disease. When grouped according to clinical suspicion, 73.5% of those studies with a high index of clinical suspicion were abnormal. In the abnormal group a correct diagnosis was made in 90%, with two false positives. In the normal group a correct diagnosis was made in 91%, with no false negatives. It is suggested that the dedicated small bowel series offers a justifiable and practical alternative to other techniques such as intubation and direct infusion of contrast medium into the small bowel, or enteroclysis.
对连续100例专门的经口小肠检查进行了回顾性研究。33%的检查结果异常,其中近一半是由克罗恩病所致。根据临床怀疑程度分组时,临床怀疑指数高的检查中有73.5%结果异常。在异常组中,90%做出了正确诊断,有两例假阳性。在正常组中,91%做出了正确诊断,无假阴性。有人提出,专门的小肠造影系列为其他技术,如插管和将造影剂直接注入小肠或小肠灌肠造影,提供了一种合理且实用的替代方法。