双气囊小肠镜与CT小肠成像在克罗恩病临床诊断中的应用价值分析

来源:用户上传      作者:李志俭

　　[摘要]目的探双气囊小肠镜与 CT 小肠成像在克罗恩病（CD）临床诊断中的应用价值。方法从2017年3 月至2021年4月因腹痛等不适到南方医科大学顺德医院消化内科就诊的患者中，选取临床怀疑 CD 的患者136例，最终诊断结果依据病理诊断、内镜表现、临床随访结果，比较不同诊断方法（双气囊小肠镜、CT 小肠成像）对 CD 诊断的检出率、确诊率、敏感度、特异度、准确度。结果临床怀疑 CD 的136例患者中， CD 确诊81例（占59.56%）。在 CD 诊断方面，双气囊小肠镜的检出率为62.50%（85/136），高于 CT 小肠成像的44.85%（61/136），差异有统计学意义（P <0.05），确诊率为95.29%（81/85），与 CT 小肠成像的90.16%（55/61）比较，差异无统计学意义（ P >0.05）。双气囊小肠镜诊断 CD 的敏感度为100.00%、准确度为97.06%，均高于 CT 小肠成像的67.90%、76.47%（均 P <0.05），特异度为92.73%，与 CT 小肠成像的89.09%比较，差异无统计学意义（ P >0.05）。结论双气囊小肠镜对 CD 诊断的诊断价值高于 CT 小肠成像。
　　[关键词]双气囊小肠镜; CT 小肠成像;克罗恩病;临床诊断
　　[中图分类号] R574.62 [文献标识码] A [文章编号]2095-0616（2022）09-0165-05
　　Analysis on the application value of double balloon enteroscopy and CT enterography in the clinical diagnosis of Crohn's disease
　　LI Zhijian
　　Department of Gastroenterology， Shunde Hospital of Southern Medical University （the First People's Hospital of Shunde District， Foshan City）， Foshan， Guangdong 528399. China
　　[Abstract] Objective To investigate the application value of double balloon enteroscopy and CT enterography in the clinical diagnosis of Crohn's disease （CD）. Methods A total of 136 patients with clinically suspected CD who attended the Department of Gastroenterology of Shunde Hospital of Southern Medical University from March 2017 to April 2021 for abdominal pain and other discomfort were selected as study subjects. The final diagnosis was based on pathological diagnosis， endoscopic manifestations， and clinical follow-up results， and the detection rate， confirmation rate， sensitivity， specificity， and accuracy of different diagnostic methods （double balloon enteroscopy and CT enterography） for the diagnosis of CD were compared. Results Among 136 patients with clinically suspected CD， 81 patients （59.56%） were finally confirmed with CD. In the diagnosis of CD， the detection rate of double balloon enteroscopy was 62.50%（85/136）， which was higher than 44.85%（61/136） of CT enteroscopy， the difference was statistically significant （P <0.05）. The diagnosis rate of double balloon enteroscopy was 95.29%（81/85）， compared with 90.16%（55/61） of CT enterography， the difference was not statistically significant （P >0.05）. The sensitivity and accuracy of double balloon enteroscopy in the diagnosis of CD were 100.00% and 97.06%， which were both higher than 67.90% and 76.47% of CT enterography （both P <0.05）. The specificity of double balloon enteroscopy was 92.73%， compared with 89.09% of CT enterography， the difference was not statistically significant （P >0.05）. Conclusion The value of double balloon enteroscopy is higher than that of CT enterography in diagnosing CD.

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