期刊导航

论文摘要

诊断性抗结核治疗在鉴别肠道克罗恩病与肠结核中的意义

作者:胡佳, 张鑫, 张燕

Author:HU Jia, ZHANG Xin, ZHANG Yan

收稿日期:          年卷(期)页码:2015,46(2):331-335

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:诊断性抗结核治疗克罗恩病肠结核

Key words:Short-term anti-tuberculosis treatmentCrohn’s diseaseIntestinal tuberculosis

基金项目:

中文摘要

目的 评价诊断性抗结核治疗在鉴别肠道克罗恩病(CD)与肠结核(ITB)中的作用。方法 回顾性分析本院近4年来(2009年1月至2013年10月)因肠道病变诊断不明,接受2~3个月诊断性抗结核治疗,最后确诊为CD或ITB患者的临床及内镜检查资料;以最终的综合诊断为标准,对诊断性抗结核治疗在鉴别CD和ITB中的准确性、敏感性和特异性进行评估。结果 研究共纳入64例患者,其中肠结核33例,克罗恩病31例。在最终确诊为肠结核的患者中,31例患者经诊断性抗结核治疗后,其临床及内镜表现明显改善,红细胞沉降率(ESR)和C 反应蛋白(CRP)明显下降(\P\P

英文摘要

Objective To determine the values of short-term anti-tuberculosis treatment in the differential diagnosis of Crohn’s disease (CD) and intestinal tuberculosis (ITB). Methods A review of cases (from January 2009 to October 2013) with a 2-3 month therapeutic trial of anti-tuberculosis was performed. The clinical manifestation and endoscopic findings of the patients, and the accuracy, sensitivity and specificity of the short term anti-tuberculosis trial for differential diagnosis of ITB and CD were analysed. Results Sixty-four cases entered into study, with 33 diagnosed with ITB and 31 with CD. In the ITB patients, 31 had significant improvement in their clinical and endoscopic manifestations, with decreased erythrocyte sedimentation rate (ESR) and C-reactive portein (CRP) (\P\P

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