Limberg B
Department of Internal Medicine, Klinikum Darmstadt, Federal Republic of Germany.
J Clin Ultrasound. 1989 Jan;17(1):25-31. doi: 10.1002/jcu.1870170106.
By instilling water into the large intestine, sonographic visualization of the whole length of the colon from the rectosigmoid to the cecum can be achieved. Furthermore, using this method, it is possible to evaluate the lumen, the intestinal wall, and the surrounding connective tissue in detail. In our study, severe, active colonic Crohn's disease and ulcerative colitis could be detected by diagnostic sonography of the colon with a sensitivity of 91% and 89%, respectively. Pathological changes were subsequently confirmed by colonoscopy. Differing echo patterns made differentiation of these two diseases possible. Our results thus show that colonic sonography is a diagnostic procedure that promises to greatly facilitate the evaluation and differentiation of inflammatory large bowel diseases.
通过向大肠内注入水，可以实现从直肠乙状结肠到盲肠的整个结肠长度的超声可视化。此外，使用这种方法，可以详细评估肠腔、肠壁和周围的结缔组织。在我们的研究中，通过结肠诊断性超声检查，重度活动性结肠克罗恩病和溃疡性结肠炎的检测灵敏度分别为91%和89%。随后通过结肠镜检查证实了病理变化。不同的回声模式使得区分这两种疾病成为可能。因此，我们的结果表明，结肠超声检查是一种有望极大地促进炎症性大肠疾病评估和鉴别的诊断方法。
