Reimund J M, Jung-Chaigneau E, Chamouard P, Wittersheim C, Duclos B, Baumann R
Service d'Hépato-Gastroentérologie et d'Assistance Nutritive, Hôpitaux Universitaires de Strasbourg, France.
Gastroenterol Clin Biol. 1999 Jun-Jul;23(6-7):740-6.
To evaluate the diagnostic accuracy of high resolution sonography in patients with inflammatory bowel disease (MICI).
In patients with Crohn's disease (n = 48), ulcerative colitis (n = 23), indeterminate colitis (n = 3), inflammatory (n = 21) and non-inflammatory (n = 23) controls, high resolution sonography was performed and compared to colonoscopy (+/- retrograde ileoscopy) and/or baryum studies of the small bowel and the colon.
Diagnosis of intestinal inflammation or not was correct in 69/74 MICI patients (sensitivity: 94.4%, specificity: 66.7%, global accuracy: 93.2%). Segment location was accurate in 58/74 (sensitivity: 80.3%, specificity: 66.7%, global accuracy: 79.7), more frequently in Crohn's disease, than in ulcerative colitis. Five out of six complications of Crohn's disease were diagnosed. In Crohn's disease, the method was more accurate in case of colonic or ileocolonic involvement.
High resolution sonography is a reliable diagnostic tool for the detection of intestinal inflammation and related complications in MICI. In can be of value in the follow-up and seems particularly interesting in the case of temporary contraindication of invasive methods.
评估高分辨率超声对炎症性肠病患者（MICI）的诊断准确性。
对克罗恩病患者（n = 48）、溃疡性结肠炎患者（n = 23）、不确定性结肠炎患者（n = 3）、炎症性对照患者（n = 21）和非炎症性对照患者（n = 23）进行高分辨率超声检查，并与结肠镜检查（±逆行回肠镜检查）和/或小肠及结肠钡剂造影进行比较。
74例MICI患者中，69例对肠道炎症的诊断正确（敏感性：94.4%，特异性：66.7%，总体准确率：93.2%）。74例中有58例节段定位准确（敏感性：80.3%，特异性：66.7%，总体准确率：79.7%），在克罗恩病中比在溃疡性结肠炎中更常见。6例克罗恩病并发症中有5例被诊断出来。在克罗恩病中，该方法在结肠或回结肠受累时更准确。
高分辨率超声是检测MICI患者肠道炎症及相关并发症的可靠诊断工具。它在随访中具有价值，在侵入性检查暂时禁忌的情况下似乎特别有意义。
