63例炎症性肠病经腹超声检查与结肠镜的对比分析.pdfVIP

实用诊断与治疗杂志2008年第22卷第3期 · 177 · ● 论 著 ● 63例炎症性肠病经腹超声检查 与结肠镜的对比分析 刘东屏 ，陶春梅 ，张艳梅 ，王学梅 [摘要] 目的：探讨经腹超声检查在炎症性肠病诊断中的临床实用价值。方法：对临床诊断明确的克罗恩病 17例， 溃疡性结肠炎46例，与3O例大肠癌对比观察超声图像特点，同步比较结肠镜所见。结果：炎症性肠病与大肠癌声像图 上，肠壁均有不同程度的增厚，肠壁增厚≥1．2 cm的阳性例数比较，克罗恩病组明显高于溃疡性结肠炎组，差异有统计 学意叉(x 一20．93，P0．05)，和大肠癌组比较差异无统计学意叉( 一0．17，P0．05)；克罗恩病组肠管正常结构消失 的比率明显高于溃疡性结肠炎组，差异有统计学意义( 一7．47，PdO．05)，肠间淋巴结肿大例数克罗恩病与溃疡性结肠 炎组和大肠癌组比较差异均无统计学意义( 一3．13，P0．05， 一1．93，P0．05)；肠间积液例数克罗恩病与溃疡性 结肠炎组和大肠癌组比较差异有统计学意义( 一8．74，P0．05， 一8 57，P0．05)；而粘连包块多见于克罗恩病组， 假肾征仅见于肠癌组。各肠段病变定位符合率：回盲部和升结肠为 91．30 ，降结肠和乙状结肠为 86．49 ，直肠 71．43 ，横结肠35．71 。结论：腹部超声检查简便易行，在声像图上克罗恩病和溃疡性结肠炎的表现有其各自特点， 对于提示炎症性肠病存在、部位和性质有一定的临床实用价值。 [关键词] 炎症性肠病；腹部超声 中图分类号：R574 文献标识码：A 文章编号：1672-3457(2008)03—177—03 Comparative analysis on 6 3 cases of inflammatory bowel disease with abdominal ultrasOnOgraphy and colonoscope LIU Dongping，TAO Chunmei，ZHANG Yanmei，et a1．Department of Gastroenterology， the First Affiliated Hospital of China Medical University，Shenyang 1 10001，China (Abstract]Objective To approach the clinical practical value of abdominal ultrason0graphy in the diagnosis of inflammatory bowel disease．Methods Ultrasound was used to detect 1 7 cases of Crohn s disease，46 cases of ulcerative colitis and 30 cases of cancer of colon，which were clinical diagnosed． The characteristics of the images were observed and the findings of colonoscope were compared synchronically．Results The sonogram of inflammatory bowel disease and cancer of colon showed different degroe·wall thickening．The positive ratio of thickening wall exceeding 1．2 cm，was higher in Crohns disease group th