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[结肠克罗恩病的放射学与内镜相关性]

[Radiologic and endoscopic correlation in Crohn's disease of the colon].

作者信息

Czembirek H, Pötzi R, Tscholakoff D, Salomonowitz E, Wittich G

出版信息

Rofo. 1983 May;138(5):519-25. doi: 10.1055/s-2008-1055777.

DOI:10.1055/s-2008-1055777
PMID:6406307
Abstract

A comparative assessment was carried out in 47 patients with double-contrast irrigoscopy (DCI), colonoscopy and endoscopy, the confirmed diagnosis being Crohn's disease in each of the patients. However, the histological finding of Crohn's disease was established in 19% only of the endoscopic biopsies. DCI enabled a more comprehensive assessment of the entire colon than was possible via endoscopy, since the right half of the colon could be visualized in less than 50% of the patients by the endoscopic method, whereas roentgenologic visualization of this part of the colon was possible in more than 90% of the patients. There was good agreement in respect of parts of the colon visualized both via endoscopy and via x-ray examination. As far as the assessment of deeper mucosal lesions was concerned, radiology proved superior, whereas endoscopy offered advantages in respect of changes on the level of the mucosa.

摘要

对47例经双重对比灌肠造影(DCI)、结肠镜检查和内镜检查的患者进行了比较评估,所有患者均确诊为克罗恩病。然而,仅19%的内镜活检组织学检查结果证实为克罗恩病。与内镜检查相比,DCI能够更全面地评估整个结肠,因为内镜检查法在不到50%的患者中能观察到结肠右半部分,而通过X线检查,超过90%的患者能够观察到结肠的这一部分。通过内镜检查和X线检查观察到的结肠部位具有良好的一致性。就深层黏膜病变的评估而言,放射学检查更具优势,而在内镜检查在评估黏膜层病变方面具有优势。

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