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作者前瞻性研究铟粒细胞扫描术在鉴别Crohn结肠炎和溃疡性结肠炎的价值。研究对象为84例活动性结肠炎,其中Crohn结肠炎36例,溃疡性结肠炎39例,未确定性质的结肠炎9例。Crohn结肠炎有下列5种类型(特征):①病变呈跳跃式;②占半结肠活动性病变占优势;③多并有迥肠炎:④可有肛周病变;⑤直肠受累者少见。依此标准,36例Crohn结肠炎中的31例(86％)和39例溃疡性结肠炎中的35例(90％)诊断正确,91例未明确病变性质的结肠炎中3例确诊为Crohn结肠炎。此法诊断精确度优于放射线学方法。可用于结肠炎的鉴别诊断。
The prospective study of Indium granuloma scan in the differential diagnosis of Crohn’s colitis and ulcerative colitis value. Study of 84 patients with active colitis, Crohn colitis in 36 cases, 39 cases of ulcerative colitis, 9 cases of indeterminate colitis. Crohn’s colitis has the following five types (characteristics): ① lesions were leaps and bounds; ② accounted for the majority of active lesions in the colon; ③ and more with colitis: ④ may have perianal lesions; ⑤ rare rectal involvement. According to this criteria, 31 (36%) of 36 Crohn’s colitis and 35 (90%) of 39 ulcerative colitis were correctly diagnosed, and 3 of 91 patients with undifferentiated colitis were diagnosed Crohn colitis. The diagnostic accuracy of this method is superior to radiographic methods. Can be used for the differential diagnosis of colitis.