摘要
炎症性肠病(inflammatory bowel disease,IBD)的诊断需要通过临床症状、实验室检查、内镜和影像学检查,以及病理组织学多方面综合判断,需要与多种疾病进行鉴别诊断,而延误诊断则严重影响患者预后。随着对IBD发病机制的深入认识、分子生物学技术和辅助检查技术的进步,延误IBD诊断的时长越来越短。但IBD是一类临床特点较为复杂的疾病,实现精准诊断尚需更多的研究提供数据和基础。本文将就IBD目前诊断现状和未来前景进行综述,期望可以更全面地认识IBD。
The diagnosis of inflammatory bowel disease(IBD)requires a comprehensive analysis in combination with clinical symptoms,laboratory tests,endoscopy,radiologic examinations,and histopathology,which also needs multiple differential diagnoses.Otherwise,delayed diagnosis of IBD will result in poor prognosis.With the increasing recognition of pathogenesis and advancement of molecular biology and accessory measurement,duration of diagnostic delay is gradually decreasing.However,considering its clinical complexity,we still demand further studies or data to support and achieve precise diagnosis for IBD.This article will review the current diagnostic status and future development of IBD to get a more comprehensive understanding of IBD.
作者
杨红
钱家鸣
Yang Hong;Qian Jiaming(Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)
出处
《中国医学前沿杂志（电子版）》
2021年第7期2-5,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
公益性行业科研专项项目(201002020,201502005)
国家自然科学基金(81570505,81970495)
国家科技部支撑计划课题973(2015CB943203)
北京市自然科学基金(7202161)
中国医学科学院医学与健康科技创新工程基金(2016-I2M-3-001,2019-I2M-2-007)。
关键词
炎症性肠病
诊断
鉴别诊断
Inflammatory bowel disease
Diagnosis
Differential diagnosis
