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使用肠道超声对炎症性肠病进行无创监测。

Non-invasive monitoring of inflammatory bowel disease using intestinal ultrasound.

作者信息

Abid Hakima, Cherkaoui Hajar, Benahsine Fatima, Lamine Asmae, Lahlali Maria, Chaouche Ismail, Bartal Fatima, Lahmidani Nada, Elmekkaoui Amine, Benajah Dafr Allah, Abkari Mohammed, Ibrahimi Sidi Adil, Elghazi Karima, Maaroufi Mustapha, Elyousfi Mounia

机构信息

Faculty of Medicine, Pharmacy and Dental Medicine of Fez, University of Sidi Mohammed Benabdellah, Laboratory of Human Pathology, Biomedicine and Environment of The Faculty of Medicine, Pharmacy and Dental Medicine of Fez, Fez 30000, Morocco.

Department of Gastroenterology, University Hospital Hassan II, Fez 30000, Morocco.

出版信息

World J Gastrointest Endosc. 2025 Mar 16;17(3):97016. doi: 10.4253/wjge.v17.i3.97016.

DOI:10.4253/wjge.v17.i3.97016
PMID:40125503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923979/
Abstract

BACKGROUND

Intestinal ultrasound (IUS) is a safe and effective way for the diagnosis and surveillance of patients with inflammatory bowel disease (IBD). It allows a noninvasive and reproducible follow-up for patients with IBD.

AIM

To compare the outcomes of colonoscopy and IUS in diagnosing and monitoring patients with IBD.

METHODS

A prospective study was conducted over a three-year period (January 2021 to April 2024) comparing endoscopic and IUS findings. A total of 101 patients were included in the study (68 with Crohn's disease and 33 with ulcerative colitis). All patients underwent both IUS and colonoscopy within a 10-day period.

RESULTS

The study found a strong correlation between bowel thickening on IUS and inflammatory activity ( = 0.004), IUS remission and endoscopic remission ( = 0.03), IUS and endoscopic location ( = 0.04), as well as IUS and computed tomography scan findings for collection diagnosis ( < 0.01).

CONCLUSION

The study's findings demonstrated excellent results for using IUS in the diagnosis and follow-up of IBD patients.

摘要

背景

肠道超声(IUS)是诊断和监测炎症性肠病(IBD)患者的一种安全有效的方法。它能为IBD患者提供无创且可重复的随访。

目的

比较结肠镜检查和IUS在诊断和监测IBD患者方面的结果。

方法

进行了一项为期三年(2021年1月至2024年4月)的前瞻性研究,比较内镜检查和IUS检查结果。共有101例患者纳入研究(68例克罗恩病患者和33例溃疡性结肠炎患者)。所有患者在10天内均接受了IUS检查和结肠镜检查。

结果

研究发现,IUS检查显示的肠壁增厚与炎症活动之间存在强相关性(=0.004),IUS缓解与内镜缓解之间存在相关性(=0.03),IUS与内镜检查部位之间存在相关性(=0.04),以及IUS与计算机断层扫描结果在脓肿诊断方面存在相关性(<0.01)。

结论

该研究结果表明,使用IUS对IBD患者进行诊断和随访效果良好。