Stefánsson T, Bergman A, Ekbom A, Nyman R, Påhlman L
Department of Surgery, University Hospital, Uppsala, Sweden.
Acta Radiol. 1994 Sep;35(5):442-6.
The sensitivity between double contrast barium enema (DCBE) and sigmoideoscopy in diagnosing neoplastic lesions in the sigmoid colon was compared in patients with diverticulosis. In 52 patients with severe diverticulosis (> or = 15 diverticulas) the DCBE detected one out of 4 polyps found by sigmoideoscopy. In the remaining 54 patients with mild diverticulosis (< 15 diverticulas) DCBE detected 7 out of 10 polyps found by sigmoideoscopy. Successful bowel preparation did not influence the outcome of the DCBE. Sigmoideoscopy was incomplete in 17 (16%) of the patients; females were more difficult to examine than males (p = 0.012), as were those with a previous pelvic operation (p = 0.032). We conclude that neither DCBE nor sigmoideoscopy alone is sufficient to detect all neoplastic lesions in the sigmoid colon in patients with sigmoid diverticulosis of the colon.
在患有憩室病的患者中，比较了双重对比钡灌肠（DCBE）和乙状结肠镜检查在诊断乙状结肠肿瘤性病变方面的敏感性。在52例严重憩室病（憩室≥15个）患者中，DCBE检测出乙状结肠镜检查发现的4个息肉中的1个。在其余54例轻度憩室病（憩室＜15个）患者中，DCBE检测出乙状结肠镜检查发现的10个息肉中的7个。成功的肠道准备并未影响DCBE的结果。17例（16%）患者的乙状结肠镜检查不完全；女性比男性更难检查（p = 0.012），有既往盆腔手术史的患者也是如此（p = 0.032）。我们得出结论，对于患有结肠乙状结肠憩室病的患者，单独使用DCBE或乙状结肠镜检查都不足以检测出乙状结肠中的所有肿瘤性病变。
