Ronský R, Dvorák M
Interní oddĕlení fakultní polikliniky FN 2, Praha.
Cas Lek Cesk. 1992 Jul 10;131(13):391-4.
In 59 subjects (25 men and 34 women) with confirmed Crohn's disease 91 sonographic examinations were made, using dynamic records by means of a sector probe with a frequency of 3.5 and 5 MHz. The disease had persisted on average for 7.1 years. A positive sonographic finding was recorded in 68% of the examined subjects, incl. 42% where the finding on palpation of the abdominal cavity was negative. During examination the following typical findings were recorded: the symptom of a tubular structure with a thickened intestinal wall (frequency 77.5%), cockade symptom (65%), convolution of the loops (62.5%), congestion in the intestinal loops (10%) and abscess in the abdominal cavity (7.5%). Ultrasonography is a significant diagnostic method which can help in the differential diagnosis of resistance on palpation and in the follow up of the disease and the effect of therapy in patients with Crohn's disease.
对59例确诊为克罗恩病的患者（25名男性和34名女性）进行了91次超声检查，使用频率为3.5和5兆赫的扇形探头进行动态记录。疾病平均持续了7.1年。在68%的受检者中记录到超声检查阳性结果，其中包括42%腹腔触诊结果为阴性的患者。检查过程中记录到以下典型表现：肠壁增厚的管状结构症状（发生率77.5%）、串珠样症状（65%）、肠袢卷曲（62.5%）、肠袢充血（10%）和腹腔脓肿（7.5%）。超声检查是一种重要的诊断方法，有助于对触诊抵抗进行鉴别诊断，并可用于克罗恩病患者疾病的随访及治疗效果的评估。
