Huisman T A, Jacot P, Benoit C H, Marincek B
Institut für Diagnostische Radiologie, Universitätsspital Zürich.
Praxis (Bern 1994). 1999 Oct 21;88(43):1759-64.
Computed Tomography should increasingly be used as a minimally invasive alternative to small bowel enteroclysis. Firstly, CT-examination is less stressful to the patients. Secondly, information is not only provided about the bowel lumen but in addition the thickness and architecture of the small bowel wall as well as the adjacent structures can be evaluated. Extraintestinal lesions/complications are easily diagnosed. Moreover, CT can be used as primary screening method in the evaluation of abdominal complaints of unknown origin. Next to Crohn's disease, numerous other small bowel diseases can be excluded. Magnetic resonance imaging will become another alternative imaging technique in future. Major advantages are the lack of ionizing radiation, the multiplanar scanning technique and the possibility of extensive postprocessing by virtual endoscopy.
计算机断层扫描应越来越多地用作小肠灌肠造影的微创替代方法。首先,CT检查对患者的压力较小。其次,它不仅能提供肠腔的信息,还能评估小肠壁的厚度和结构以及相邻结构。肠外病变/并发症很容易诊断。此外,CT可作为评估不明原因腹部不适的主要筛查方法。除了克罗恩病,还可以排除许多其他小肠疾病。磁共振成像在未来将成为另一种替代成像技术。其主要优点是无电离辐射、多平面扫描技术以及通过虚拟内窥镜进行广泛后处理的可能性。