Objective To explore the application of inflammatory bowel disease digestive endoscopy and value of multislice spiral CT angiography in the diagnosis of small bowel. Methods For inflammatory bowel disease pa-tients in our hospital of 43 patients were analyzed retrospectively and compared the results of its digestive endoscopy. Results In 43 cases of patients with inflammatory bowel disease, 11 cases of ulcerative colitis, Crohn′s disease 32 cases, the CT angiography of the most common was intestinal abnormal enhancement of performance, followed by bowel wall thickening, abdominal abscess and fistula formation, colon band disappeared relatively rare; multislice CT angiography in the small intestine to strengthen the intestinal wall, bowel wall thickening, with abdominal lesions was significantly higher than digestive endoscopy, digestive endoscopy diagnostic display intestinal ulcers, symptoms such as pebbles above multilayer spiral CT angiography (P<0.05); both in a multi-segment disease, luminal stenosis display effects are good (P>0.05). Conclusion Multislice spiral CT angiography in the diagnosis of inflammatory bowel dis-ease of the small intestine, can significantly strengthen the intestinal wall abnormalities, and show thickening of in-testinal complications, digestive endoscopy multiple inflammatory polyps, ulcers and intestinal symptoms such as peb-ble diagnosis rate is higher, their combination of higher value.%目的：探讨炎症性肠病应用消化内镜与多层螺旋CT小肠造影诊断的应用价值。方法对我院接收的炎症性肠病患者43例进行回顾性分析，分析对比其消化内镜检查结果。结果在43例炎性肠病患者中11例溃疡性结肠炎、32例克罗恩病，其CT造影中肠壁异常强化为最常见的表现，其次肠壁增厚，瘘管形成与腹腔脓肿、结肠带消失相对较为少见；多层螺旋CT小肠造影中肠壁强化、肠壁增厚、合并腹腔病变诊断明显高于消化内镜，消化内镜诊断显示肠壁溃疡、卵石征等高于多层螺旋CT造影（P＜0．05）；两者在多节段病变、肠腔狭窄显示效果均较好（P＞0．05）。结论多层螺旋CT小肠造影诊断炎症性肠病，可明显显示肠壁强化异常以及增厚、肠外并发症等，消化内镜对多发炎性息肉、肠壁溃疡以及卵石征等诊断率较高，两者联合应用价值较高。
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