结肠镜检查在特发性溃疡性结肠炎与结肠克罗恩病鉴别诊断中的作用。

The role of coloscopy in the differential diagnosis between idiopathic ulcerative colitis and Crohn's disease of the colon.

作者信息

Banche M, Rossini F P, Ferrari A, Roatta L, Gilli E, Cirillo R

出版信息

Am J Gastroenterol. 1976 Jun;65(6):539-45.

Abstract

The authors point out the striking significance of coloscopy in establishing a correct diagnosis of inflammatory diseases of the colon. In particular, the most valuable endoscopic features are indicated which may permit distinguishing between idiopathic ulcerative colitis and Crohn's disease of the colon. Differentiation between these two diseases cannot always be achieved by means of available diagnostic procedures other than coloscopy. Moreover, the endoscopic findings enable an assessment to be made of the extent, stage, severity and course of either disease. The authors' experience encompass 2,478 coloscopy examinations: the observed cases of idiopathic ulcerative colitis are 182, those of Crohn's disease of the colon are 104.

摘要

作者指出结肠镜检查在正确诊断结肠炎性疾病方面具有显著意义。特别指出了最有价值的内镜特征，这些特征有助于区分特发性溃疡性结肠炎和结肠克罗恩病。除结肠镜检查外，现有诊断方法并不总能实现这两种疾病的鉴别诊断。此外，内镜检查结果能够对这两种疾病的范围、阶段、严重程度和病程进行评估。作者的经验涵盖了2478例结肠镜检查：观察到的特发性溃疡性结肠炎病例为182例，结肠克罗恩病病例为104例。