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内镜超声检查在炎症性肠病诊断与治疗中的应用价值

Application Value of Endoscopic Ultrasonography in Diagnosis and Treatment of Inflammatory Bowel Disease.

作者信息

Jiang Ying, Shi Runjie, Zhou Peirong, Lei Ying, Cai Zihong, Sun Yan, Li Mingsong

机构信息

Department of Gastroenterology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China.

出版信息

Dig Dis Sci. 2025 Jan;70(1):89-99. doi: 10.1007/s10620-024-08751-9. Epub 2024 Nov 29.

Abstract

Inflammatory bowel disease refers to a group of non-specific inflammatory illnesses affecting the gastrointestinal tract. According to pathogenic characteristics, it is divided into Ulcerative colitis and Crohn's disease. The exact cause and pathogenic mechanism of these disorders are not yet fully understood. In addition, there is currently no definitive diagnostic method for inflammatory bowel disease, which mainly depends on clinical symptoms, blood testing, imaging investigations, and endoscopic examination, which includes histology. Endoscopic Ultrasonography is a digestive tract examination technique that combines endoscopy and ultrasound. Compared to conventional endoscopy, it can visualize surface and deep lesions of the gastrointestinal wall, as well as provide information on the characteristics of the surrounding layers and nearby lymph nodes. Due to these advantages, Endoscopic Ultrasonography has played a significant role in the evaluation of inflammatory bowel disease in recent years. Through this work, we aim to identify the applications of this method in the case of patients with inflammatory bowel disease.

摘要

炎症性肠病是指一组影响胃肠道的非特异性炎症性疾病。根据致病特征,它分为溃疡性结肠炎和克罗恩病。这些疾病的确切病因和致病机制尚未完全明确。此外,目前尚无针对炎症性肠病的确切诊断方法,主要依靠临床症状、血液检测、影像学检查以及包括组织学检查在内的内镜检查。内镜超声检查是一种将内镜和超声相结合的消化道检查技术。与传统内镜相比,它可以显示胃肠道壁的表面和深部病变,还能提供有关周围各层及附近淋巴结特征的信息。由于这些优势,内镜超声检查近年来在炎症性肠病的评估中发挥了重要作用。通过这项工作,我们旨在确定该方法在炎症性肠病患者中的应用情况。

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