Erdozain J C, Herrera A, Molina E, Conde P, Moreno A, Olveira A, Martínez A, Segura J M
Servicio de Aparato Digestivo, Hospital La Paz, Madrid.
Gastroenterol Hepatol. 1998 Jun-Jul;21(6):272-6.
The aim of this study was to evaluate the relevance of the ultrasonography in assessing activity in a series of patients with Crohn's disease.
A series of 24 patients with active (Crohn's disease activity index > 150) ileal or ileocolonic Crohn disease underwent abdominal ultrasonography.
There was a significant correlation between bowel wall thickening and the Crohn's disease activity index: the higher the bowel wall thickening was the higher were the values of Crohn's disease activity index. Two or more ultrasound studies were performed in 10 patients with bowel wall > 4 mm during treatment, and a progressive normalization of bowel wall size was observed with new thickening when recurrence occurred.
A bowel wall thickening (> or = 4 mm) was found in patients with active Crohn's disease. A patient with bowel wall thickness > 6 mm should make us suspect the presence of stenosis. Abdominal ultrasonography is an accurate method in the first assessment of Crohn's disease because its high correlation with the Crohn's disease activity index.
本研究旨在评估超声检查在一系列克罗恩病患者中评估疾病活动度的相关性。
对24例活动性（克罗恩病活动指数>150）回肠或回结肠型克罗恩病患者进行腹部超声检查。
肠壁增厚与克罗恩病活动指数之间存在显著相关性：肠壁增厚越明显，克罗恩病活动指数值越高。10例肠壁厚度>4mm的患者在治疗期间进行了两次或更多次超声检查，观察到肠壁大小逐渐恢复正常，复发时出现新的增厚。
活动性克罗恩病患者存在肠壁增厚（≥4mm）。肠壁厚度>6mm的患者应使我们怀疑存在狭窄。腹部超声检查是首次评估克罗恩病的准确方法，因为它与克罗恩病活动指数高度相关。
