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如何在克罗恩病患者中使用肠道超声检查：在达标治疗策略时代其在疾病活动评估和疾病监测中的作用

How to use intestinal ultrasonography in patients with Crohn disease: its role in the assessment of disease activity and disease monitoring in the era of the treat-to-target strategy.

作者信息

You Myung-Won, Moon Sung Kyoung, Park Seong Jin

机构信息

Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Department of Radiology, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea.

出版信息

Ultrasonography. 2025 Sep;44(5):308-323. doi: 10.14366/usg.25079. Epub 2025 Jul 8.

DOI:10.14366/usg.25079
PMID:40790962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12457928/
Abstract

Intestinal ultrasonography (IUS) is one of the primary noninvasive, cross-sectional imaging modalities for the diagnosis and monitoring of Crohn disease (CD). IUS is highly accessible and convenient, particularly for patients, making it an ideal tool for frequent and repeated assessments of CD, which is especially prevalent in younger populations. This review examines the current role of IUS in assessing disease activity and complications, including the use of various scoring systems, compares its utility with magnetic resonance enterography, and discusses its role in evaluating transmural response and healing during treatment monitoring, as well as its limitations.

摘要

肠道超声检查（IUS）是用于克罗恩病（CD）诊断和监测的主要非侵入性横断面成像方式之一。IUS极易获得且方便，尤其对于患者而言，使其成为对CD进行频繁和重复评估的理想工具，而CD在年轻人群中尤为普遍。本综述探讨了IUS在评估疾病活动和并发症方面的当前作用，包括各种评分系统的使用，将其效用与磁共振肠造影进行比较，并讨论其在治疗监测期间评估透壁反应和愈合情况中的作用以及其局限性。

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本文引用的文献

1
Evaluation of Crohn's Disease Activity: Validation of a Segmental Simple Ultrasound Score in a Multicenter Study.克罗恩病活动度评估：一项多中心研究中节段性简易超声评分的验证
Inflamm Bowel Dis. 2025 Aug 1;31(8):2081-2087. doi: 10.1093/ibd/izae213.
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Systematic review: Defining, diagnosing and monitoring small bowel strictures in Crohn's disease on intestinal ultrasound.系统评价：肠道超声在克罗恩病中小肠狭窄的定义、诊断和监测。
Aliment Pharmacol Ther. 2024 Apr;59(8):928-940. doi: 10.1111/apt.17918. Epub 2024 Mar 4.
3
Diagnostic Accuracy of Intestinal Ultrasound in the Detection of Intra-Abdominal Complications in Crohn's Disease: A Systematic Review and Meta-Analysis.
肠超声诊断克罗恩病腹腔内并发症的准确性：系统评价和荟萃分析。
J Crohns Colitis. 2024 Jun 3;18(6):958-972. doi: 10.1093/ecco-jcc/jjad215.
4
Assessing Active Bowel Inflammation in Crohn's Disease Using Intestinal Ultrasound: Correlation With Fecal Calprotectin.使用肠道超声评估克罗恩病的活动性肠道炎症：与粪便钙卫蛋白的相关性。
J Ultrasound Med. 2023 Dec;42(12):2791-2802. doi: 10.1002/jum.16317. Epub 2023 Aug 14.
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Retrospective Cohort Study of Shear-Wave Elastography and Computed Tomography Enterography in Crohn's Disease.克罗恩病中剪切波弹性成像与计算机断层扫描小肠造影的回顾性队列研究
Diagnostics (Basel). 2023 Jun 5;13(11):1980. doi: 10.3390/diagnostics13111980.
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Creeping Fat in the Pathogenesis of Crohn's Disease: An Orchestrator or a Silent Bystander?克罗恩病发病机制中的 creeping fat：是始作俑者还是沉默的旁观者？
Inflamm Bowel Dis. 2023 Nov 2;29(11):1826-1836. doi: 10.1093/ibd/izad095.
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Ultrasonographic Transmural Healing in Crohn's Disease.克罗恩病的超声透壁愈合。
Am J Gastroenterol. 2023 Jun 1;118(6):961-969. doi: 10.14309/ajg.0000000000002265. Epub 2023 Mar 28.
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External validation and comparison of simple ultrasound activity score and international bowel ultrasound segmental activity score for Crohn's disease.克罗恩病简单超声活动评分与国际肠道超声节段性活动评分的外部验证及比较
Scand J Gastroenterol. 2023 Jul-Dec;58(8):883-889. doi: 10.1080/00365521.2023.2181038. Epub 2023 Feb 23.
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Intestinal Ultrasound for the Pediatric Gastroenterologist: A Guide for Inflammatory Bowel Disease Monitoring in Children: Expert Consensus on Behalf of the International Bowel Ultrasound Group (IBUS) Pediatric Committee.小儿胃肠病学家的肠道超声：儿童炎症性肠病监测指南：国际肠超声组织（IBUS）小儿委员会专家共识。
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