Jensen Michael Dam, Kjeldsen Jens, Nathan Torben, Rafaelsen Søren Rafael
Medicinsk Gastroenterologisk Afdeling S, Odense Universitetshospital, DK-5000 Odense C.
Ugeskr Laeger. 2009 Aug 17;171(34):2383-8.
Diagnosing Crohn's disease in the small intestine can be troublesome. Traditionally, the small bowel is evaluated by ileocolonoscopy and small bowel follow-through or enteroclysis. In recent years MRI, CT, ultrasound and capsule endoscopy have emerged. All are validated and implemented in clinical practice. Double-balloon enteroscopy, PET-CT and SPECT are newer methods, which are still being evaluated in clinical trials. The purpose of this article is to review clinical studies focusing on the validity of modalities for diagnosing Crohn's disease of the small intestine.
诊断小肠克罗恩病可能会很棘手。传统上,通过回结肠镜检查以及小肠钡剂造影或小肠灌肠来评估小肠。近年来,磁共振成像(MRI)、计算机断层扫描(CT)、超声和胶囊内镜已出现。所有这些检查方法都已得到验证并应用于临床实践。双气囊小肠镜检查、正电子发射断层显像(PET-CT)和单光子发射计算机断层显像(SPECT)是较新的方法,仍在临床试验中接受评估。本文的目的是综述聚焦于小肠克罗恩病诊断方法有效性的临床研究。