Holmquist L, Rudic N, Ahren C, Fällström S P
Dept. of Pediatrics II, University of Gothenburg, Sweden.
Scand J Gastroenterol. 1988 Jun;23(5):577-84. doi: 10.3109/00365528809093915.
Seventy-eight young patients with symptoms of chronic inflammatory bowel disease (IBD) of the colon have been investigated to determine to what degree colonoscopy adds important information for the diagnosis of IBD in addition to results of the routine procedures, including rectosigmoidoscopy carried out at the same time. After colonoscopy IBD was established in 4 of 12 patients classified as non-IBD after the routine procedures. Eleven of 18 patients with the routine diagnosis indeterminate colitis (IC) could after colonoscopy be differentiated into UC or probable CC. In 30 of 31 cases classified as UC the routine diagnosis was confirmed by colonoscopy. Routine diagnosis as probable CC was changed to definite CC in 3 of 10 cases. In all cases but one with previously established IBD it was possible to confirm the diagnosis. Thirty-seven of 70 patients with established IBD of the colon had no radiologic evidence of colitis.
对78例有结肠慢性炎症性肠病（IBD）症状的年轻患者进行了调查，以确定结肠镜检查除了同时进行的包括直肠乙状结肠镜检查在内的常规检查结果外，在多大程度上能为IBD的诊断提供重要信息。结肠镜检查后，在常规检查后被归类为非IBD的12例患者中有4例被确诊为IBD。18例常规诊断为不确定性结肠炎（IC）的患者中，有11例在结肠镜检查后可被区分为溃疡性结肠炎（UC）或可能的克罗恩病（CC）。在31例被归类为UC的病例中，有30例经结肠镜检查证实了常规诊断。10例可能为CC的病例中有3例经结肠镜检查后确诊为CC。除1例先前已确诊为IBD的病例外，在所有病例中均有可能确诊。70例确诊为结肠IBD的患者中有37例没有结肠炎的放射学证据。
