| 郑凯,黄敏,庞智,褚行琦.经腹肠道超声诊断小肠克罗恩病并发症[J].中国医学影像技术,2020,36(10):1485~1489 |
| 经腹肠道超声诊断小肠克罗恩病并发症 |
| Transabdominal bowel ultrasonic diagnosis of complications of small bowel Crohn disease |
| 投稿时间：2019-09-05 修订日期：2020-04-28 |
| DOI：10.13929/j.issn.1003-3289.2020.10.011 |
| 中文关键词: 克罗恩病 小肠 并发症 腔内超声检查 |
| 英文关键词:Crohn disease intestine, small complications endosonography |
| 基金项目:江苏省自然基金面上项目（BK20131150）、苏州市医学物理与技术重点实验室项目（SZS201721）。 |
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| 中文摘要: |
| 目的 评估经腹肠道超声（TBUS）诊断小肠克罗恩病（SBCD）并发症的价值。方法 回顾性分析25例确诊SBCD患者10年42例次超声检查，包括活动期26例次（活动期组）、缓解期16例次（缓解期组）的声像图特征，观察超声评估病变活动度结果与Harvey-Bradshaw指数（HBI）的一致性。结果 TBUS与HBI评估病变活动度的一致性较高（Kappa=0.897）。瘘、脓肿、炎性包块均见于活动期组；活动期组狭窄、爬行脂肪征、淋巴结炎、腹腔积液等发生率均明显高于缓解期组（P均<0.05），肠壁及爬行脂肪厚度明显大于缓解期组（P均<0.01）。42例次超声检查中，15例次见肠管狭窄，8例次见瘘；31例次病变肠壁周围脂肪组织炎性增生，20例次见多发肠系膜淋巴结炎；腹腔积液16例次，腹部包块9例次，其中5例次伴脓肿，穿孔1例次，炎性息肉8例次，憩室形成3例次。结论 TBUS能准确显示SBCD腹部并发症，可作为评估SBCD并发症的常规影像学检查手段。 |
| 英文摘要: |
| Objective To observe the value of transabdominal bowel ultrasound (TBUS) in diagnosis of complications of small bowel Crohn disease (SBCD). Methods Imaging manifestations on 42 times ultrasonic examinations of 25 SBCD patients during 10 years were retrospectively analyzed, including 26 times in active phase (active group) and 16 times in remission stage (remission group). The consistency between ultrasound and Harvey Bradshaw index (HBI) for evaluation on disease activity was observed. Results There was high consistency between ultrasound and HBI for evaluation on disease activity of SBCD (Kappa=0.897). Fistula, abscess and inflammatory mass all appeared in active stage. The incidence of stenosis, creeping fat sign, lymphadenitis and ascites in active group were significantly higher than those in remission group (all P<0.05). The thickness of intestinal wall and creeping fat in active group were significantly greater than those in remission group (all P<0.05). Among all 42 times examinations, stenosis was observed in 15 times, fistula was found in 8 times, while inflammatory hyperplasia of adipose tissue around the diseased intestinal wall, multiple mesenteric lymphadenitis and ascites were noticed in 31,20 and 16 times, respectively. Abdominal masses were detected in 9 times, including 5 with abscess. Perforated Intestinal wall was found in 1 time, while inflammatory hypertrophy and diverticulum formation were detected in 8 and 3 times, respectively. Conclusion TBUS could accurately show the abdominal complications of SBCD,therefore being able to be used as a routine imaging method for evaluation on complications of SBCD. |
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