回盲部溃疡性病变的鉴别诊断研究进展

Research Progress of Differential Diagnosis of Ulcerative Lesions in the Ileocecal Region

摘要: 回盲部位于人体右下腹髂窝处，是连接大肠和小肠的“特殊关卡”，同样也是多种肠道病变的好发部位，如炎症性肠病(Inflammatory bowel disease, IBD)、肠结核(Intestinal tuberculosis, ITB)等。近年来，随着医疗技术的不断提升，回盲部溃疡性病变的检出率也在逐年升高，但由于其在临床症状、影像学、内镜下表现以及病理等方面的相似性，目前在溃疡性病变的鉴别诊断方面仍有不足，为后续的临床诊疗带来了较大难题。现对常见回盲部溃疡性病变的临床特征进行总结，以提高其诊断准确率，改善患者预后。

Abstract: The ileocecal region, which is located in the right iliac fossa, is a “special gate” that connects the small and large intestines. It is also a common site for many intestinal diseases such as inflamma-tory bowel disease (IBD) and intestinal tuberculosis (ITB). With the continuous improvement of medical technology in recent years, the diagnosis rate of ulcerative lesions in the ileocecal region has increased year on year. However, there are still difficulties in differentiating ulcerative lesions due to their similarity in clinical manifestations, imaging, endoscopic appearances and pathology, which makes subsequent clinical treatment challenging. The clinical features of common ulcerative lesions in the ileocecal region were summarized in this article to improve the diagnostic accuracy and enhance patient outcomes.