肠道缺血性疾病的影像学检查

Imaging in intestinal ischemic disorders.

作者信息

Gore Richard M, Yaghmai Vahid, Thakrar Kiran H, Berlin Jonathan W, Mehta Uday K, Newmark Geraldine M, Miller Frank H

机构信息

Department of Radiology, Evanston Northwestern Healthcare, Northwestern University Medical School, 2650 Ridge Avenue, Evanston, IL 60201, USA.

出版信息

Radiol Clin North Am. 2008 Sep;46(5):845-75, v. doi: 10.1016/j.rcl.2008.05.004.

DOI:10.1016/j.rcl.2008.05.004

PMID:19103136

Abstract

Intestinal ischemia and infarction are a heterogeneous group of diseases that have as their unifying theme hypoxia of the small bowel or colon. The incidence of bowel ischemia and infarction is on the rise for several reasons: the aging of the population, the ability of intensive care units to salvage critically ill patients, and heightened clinical awareness of these disorders. Improvements in diagnostic imaging techniques have greatly contributed to the earlier diagnosis of intestinal ischemia, which can have a positive influence on patient outcomes. In this article, role of radiology in the detection, differential diagnosis, and management of patients who have intestinal ischemia and infarction is discussed.

摘要

肠缺血和梗死是一组异质性疾病，其共同主题是小肠或结肠缺氧。肠缺血和梗死的发病率因多种原因呈上升趋势：人口老龄化、重症监护病房挽救重症患者的能力以及临床对这些疾病的认识提高。诊断成像技术的进步极大地促进了肠缺血的早期诊断，这对患者的预后可能产生积极影响。本文讨论了放射学在肠缺血和梗死患者的检测、鉴别诊断及管理中的作用。