超声检查在克罗恩病检测及炎症性肠病鉴别诊断中的应用

Ultrasonography in the detection of Crohn's disease and in the differential diagnosis of inflammatory bowel disease.

作者信息

Pera A, Cammarota T, Comino E, Caldera D, Ponti V, Astegiano M, Barletti C, Rocca R, Cosimato M, Bertolusso L

机构信息

Department of Gastroenterology, Ospedale Molinette, Turin, Italy.

出版信息

Digestion. 1988;41(3):180-4. doi: 10.1159/000199773.

DOI:10.1159/000199773

PMID:3066675

Abstract

The diagnostic accuracy of abdominal ultrasonography in inflammatory bowel disease (IBD) has been evaluated in a prospective, randomized, blind study. A total of 181 patients (89 with Crohn's disease, 57 ulcerative colitis and 35 controls) were examined. Sensitivity and specificity of diagnosis in Crohn's disease, corrected for prevalence, were 80.8 and 79.2%, respectively, and a very similar accuracy was found in the differential diagnosis of IBD. In conclusion, ultrasonography can play a role in detecting Crohn's disease and in the differential diagnosis of chronic IBD.

摘要

在一项前瞻性、随机、盲法研究中评估了腹部超声检查对炎症性肠病（IBD）的诊断准确性。共检查了181例患者（89例克罗恩病、57例溃疡性结肠炎和35例对照）。经患病率校正后，克罗恩病诊断的敏感性和特异性分别为80.8%和79.2%，在IBD的鉴别诊断中发现了非常相似的准确性。总之，超声检查在检测克罗恩病和慢性IBD的鉴别诊断中可发挥作用。