Zissu J, Filippini L
Radiol Clin (Basel). 1975;44(6):557-70.
The difficulties in the differential diagnosis of Crohn's disease are discussed on the basis of 35 patients observed at the Kantonsspital of Lucerne. The value of various radiographic signs as indicators of the stage and duration and the activity of the disease is critically analysed. Functional radiological signs, such as spasm, hypertonia and edema of the intestinal folds cannot be interpreted as early signs of Crohn's disease. On the other hand, advanced radiological lesions may be found although the disease is clinically acute and of recent onset. Sometimes, the radiological differential diagnosis against advanced ulcerative colitis or acute ileitis is made only on the basis of follow-up studies and the evolution of the lesions.
基于在卢塞恩州立医院观察的35例患者，讨论了克罗恩病鉴别诊断中的困难。对各种放射学征象作为疾病分期、病程及活动度指标的价值进行了批判性分析。肠道褶皱的痉挛、张力亢进和水肿等功能性放射学征象不能被解释为克罗恩病的早期征象。另一方面，尽管疾病临床呈急性且为近期发病，但可能发现进展期放射学病变。有时，与进展期溃疡性结肠炎或急性回肠炎的放射学鉴别诊断仅基于随访研究及病变的演变。
