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肠道超声学检查在克罗恩病中的应用及前景

The application and prospect of intestinal ultrasound in patients with Crohn’s disease
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摘要 克罗恩病是一种消化道慢性炎性疾病,影像学检查在明确其诊断中具有重要意义。目前临床中常用的影像学检查手段主要包括肠道超声学检查、CT小肠成像及磁共振小肠成像等,后两者由于具有辐射性风险或价格昂贵等因素在临床中的应用受到了一定限制。肠道超声学检查主要包括常规肠道超声、弹性超声及肠道增强超声造影等。目前研究表明,上述多种超声学检查方法在协助诊断克罗恩病及其并发症和评价疾病累及范围及疾病活动度等方面均有一定价值。该综述旨在回顾肠道超声学检查在克罗恩病患者临床应用中的研究进展及前景探索。 Crohn’s disease(CD)is a chronic,remitting and segmental inflammatory disease of the gastrointestinal tract,radiological examinations play critical roles in the diagnosis of CD.The common radiological examinations include ultrasound examinations of intestine,computed tomography enterography(CTE),and magnetic resonance enterography(MRE)in clinic.The application of CTE and MRE is limited because of radiation exposure or higher costs.The ultrasound examinations of intestine including conventional intestinal ultrasound,ultrasonic elastography,and contrast-enhanced ultrasound have been studied because of the advantages of non-invasiveness and convenience.The accuracy of the intestinal ultrasound has been already partially validated in assisting diagnosis and evaluating the disease activity and location in CD patients.This review aims at summarizing the diagnostic potency and prospect of the application of ultrasound examinations of intestine in CD patients.
作者 木婧熙 张虎 MU Jingxi;ZHANG Hu(Department of Gastroenterology & Center of Inflammatory Bowel Disease,West China Hospital,Sichuan University,Chengdu,Sichuan610041,P.R.China)
出处 《华西医学》 CAS 2019年第4期448-453,共6页 West China Medical Journal
基金 国家自然科学基金(81570502).
关键词 克罗恩病 肠道超声学检查 应用前景 Crohn’s disease Intestinal ultrasound Application prospect
作者简介 通信作者:张虎,Email:zhanghu@scu.edu.cn.
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