目的通过对多排螺旋 C T ( m u l t i s l i c e s p i r a l c o m p u t e d tomography，MSCT)与结肠镜对肠结核的 诊断对比研究，评价MSCT及结肠镜对肠结 核的诊断价值。方法 回顾性的分析本院 27例经手术或病理诊断为肠结核的患者的 腹部MSCT及结肠镜检查结果，比较二者对 肠结核的诊断准确率。结果 经手术或病 理诊断为肠结核的27例患者中, MSCT准确 诊断26例(96.3%)，结肠镜准确诊断23例 (85.2%)。二者对肠结核的诊断准确率无 明显差异(P>0.05)。结论 MSCT结合结肠 镜能够有效的提高肠结核的诊断率，有利 于指导临床治疗。

Objective The purpose of this study is to explore the diagnostic accuracy of the intestinal tuberculosis using MSCT and colonoscope. Methods 27 patients with intestinal tuberculosis were enrolled in the study and who have undergone MSCT and colonoscope. The point of the study is to analysis the diagnostic accuracy of the intestinal tuberculosis among the methods of MSCT and colonoscope. Results In all the patients, 26 cases (96.3%) were diagnosed intestinal tuberculosis by using MSCT, 23 cases (85.2%) were diagnosed intestinal tuberculosis by using colonoscope. There are no significant differences between MSCT and colonoscope (P>0.05). Conclusion MSCT and colonoscope could significantly improve the diagnostic accuracy of intestinal tuberculosis. Therefore, MSCT and colonoscope may play a crucial role for diagnosing intestinal tuberculosis.