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[克罗恩病的放射学评估]

[Radiological assessment of Crohn disease].

作者信息

Florio F, Stella P, Barbi E, Palladino M

机构信息

Dipartimento di Diagnostica per Immagini, Ospedale Generale Regionale Casa Sollievo della Sofferenza, San Giovani Rotondo, FG.

出版信息

Radiol Med. 1987 Oct;74(4):282-9.

PMID:3671797
Abstract

Fifty-eight consecutive cases of patients affected by Crohn's disease, with ileum (23/58), colon (10/58) and ileo-colic (25/58) involvement were studied. A good overall sensitivity was reached by the radiological procedures employed (barium meal, barium enema, enteroclysis). Enteroclysis is proposed as a second-step method for the study of ileum involvement, because it provides a quite precise assessment of disease stage and extent. Some criteria for a rational use of current radiological procedures in the follow-up of both surgically and medically treated patients are proposed. Moreover it is suggested that better coordination of anatomo-radiological and clinical aspects could improve the therapeutic approach and prognostic judgement in such cases.

摘要

对58例连续性克罗恩病患者进行了研究,病变累及回肠者23例、结肠者10例、回结肠者25例。所采用的放射学检查方法(钡餐、钡灌肠、小肠灌肠造影)总体敏感性良好。小肠灌肠造影被推荐作为研究回肠受累情况的第二步检查方法,因为它能相当精确地评估疾病分期和范围。本文提出了在手术和药物治疗患者随访中合理应用现有放射学检查方法的一些标准。此外,建议更好地协调解剖放射学和临床方面,可改善此类病例的治疗方法和预后判断。

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