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[肠壁的超声结构——对炎症性肠病诊断的意义]

[Sonographic structure of the intestinal wall--significance for the diagnosis of inflammatory intestinal diseases].

作者信息

Meckler U, Herzog P

机构信息

Internistische Gemeinschaftspaxis, Offenbach.

出版信息

Ultraschall Med. 1989 Jun;10(3):152-7. doi: 10.1055/s-2007-1005982.

DOI:10.1055/s-2007-1005982
PMID:2672319
Abstract

Sonography can depict the transformation of the intestinal wall in Crohn's disease, esp. its layers. Besides demonstrating the transmural aspect of inflammation it also shows typical mesenteritis and complications such as fistula, abscess, inflammatory tumour, stenosis and ileus. Sonography proves invaluable in following up Crohn's disease. Differential diagnosis against other diseases of the bowel wall (ulcerous colitis, radiogenic, ischaemic, infectious and pseudomembranous colitis, as well as some types of lymphoma and carcinoma of the intestine) on a purely morphological basis is difficult, but nevertheless possible.

摘要

超声检查能够描绘克罗恩病中肠壁的变化,尤其是其各层结构。除了显示炎症的透壁特征外,它还能显示典型的肠系膜炎症以及诸如瘘管、脓肿、炎性肿瘤、狭窄和肠梗阻等并发症。超声检查在克罗恩病的随访中被证明具有极高价值。仅基于形态学对其他肠壁疾病(溃疡性结肠炎、放射性肠炎、缺血性肠炎、感染性和假膜性结肠炎,以及某些类型的肠道淋巴瘤和癌)进行鉴别诊断很困难,但仍有可能。

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