| 摘要: |
| ［摘要］ 目的 探讨彩色多普勒超声对克罗恩病的诊断价值。方法 对临床腹痛位置较固定的病例经超声检查排除其他脏器疾病，进行胃肠道彩色多普勒超声常规检查，采用腹部探头和高频探头相结合的方法，重点观察和研究胃肠道管壁全层结构声像变化及其特征，同时与临床诊断和治疗及手术病理结果对照，分析总结克罗恩病的超声表现及特征，评价彩色多普勒超声诊断的临床价值。结果 30例中彩色多普勒超声检查拟诊克罗恩病22例，与临床诊断结果符合率达91%（20/22例），与手术治疗的病理结果符合率67%(4/6例)。结论 克罗恩病彩色多普勒超声声像具有特异性改变，能为临床提供较准确的诊断依据，对临床决定治疗方案和疗效观察具有一定的价值。 |
| 关键词: 克罗恩病 彩色多普勒超声诊断 诊断价值 |
| DOI：10.3969/j.issn.1674-3806.2009.12.29 |
| 分类号:R 574.62 |
| 基金项目: |
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| The diagnostic value of color Doppler ultrasound for Crohn′s disease |
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HANG Gui-fang
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Chinese and Western Integrative Hospital of Jiangsu Province，Nanjing 210028, China
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| Abstract: |
| ［Abstract］ Objective To explore Ultrasound diagnostic value of Crohn′s disease.Methods The cases with fixed abdominal pain location were checked by ultrasound to exclude other organs′ diseases，then the routine examination for gastrointestinal tract by a color Doppler ultrasound were performed. Via combining abdominal probe and high-frequency probe，the sonographic screening changes of full-thickness wall structure of the gastrointestinal tract and its characteristics，were mainly observed and studied. The result were meanwhile compared with surgical pathology findings and the clinical diagnosis and treatment.Finally, the ultrasound performance and characteristics of Crohn′s disease were analyzed and summarized to evaluate the clinical value.Results Of 30 cases, 22 were definitely diagnosed as Crohn Disease by color Doppler ultrasound examination，representing a coincidence rate with clinical diagnosis treatment results up to 91% (20/22 cases), while 67% (4/6 cases) as for pathological findings of surgical treatment. Conclusion Color Doppler ultrasonographic sound image of Crohn′s disease have idiosyncratic chages. It can provide a more accurate evidence for the clinic diagnosis. and be of great value for clinic to decide therapeutic schedule and observe curative effect. |
| Key words: Crohn′s disease Color Doppler ultrasound Diagnostic value |
