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文章研究分析了1980年1月～1996年6月间我院经手术及病理证实的24例克隆病的内镜特征。结果显示该组有典型克隆病内镜特征的患者仅占40％,肠道狭窄为该组克隆病的最常见的内镜表现。在排除恶性肿瘤后,节段性肠道狭窄支持克隆病的诊断。圆形溃疡几乎和裂隙状溃疡同样常见,前者可能是克隆病的早期内镜表现之一。多次、多处及深凿活检有助于提高肉芽肿的检出率。结论:具有典型克隆病内镜特征的克隆病患者并非多数,圆形溃疡与裂隙状溃疡一样常见;正确的活检方法是提高该病诊断率的关键。
This study analyzed the endoscopic features of 24 cases of Crohn’s disease confirmed by surgery and pathology in our hospital from January 1980 to June 1996. The results showed that only 40% of the patients with typical Crohn’s disease endoscopy features, the most common endoscopic manifestations of intestinal Crohn’s disease. Segmented intestinal stenosis supports the diagnosis of Crohn’s disease after malignancy has been ruled out. Circular ulcers are almost as common as ulcerated ulcers, and the former may be one of the early endoscopic manifestations of Crohn’s disease. Multiple, multiple and deep chisel biopsy can help increase the detection rate of granulomas. CONCLUSIONS: There are not many Crohn’s disease patients with endoscopic features of typical Crohn’s disease. Round ulcers are as common as those of fissure ulcer. The correct biopsy method is the key to improve the diagnosis rate of this disease.