CEUS评估克罗恩病活动度的可行性

发布时间：2018-03-31 20:02

  本文选题：克罗恩病　切入点：造影剂　出处：《中国医学影像技术》2017年05期

【摘要】：目的探讨CEUS评估克罗恩病活动度的可行性。方法回顾性分析经临床确诊为克罗恩病的39例患者,其中临床疾病活动指数(CDAI)评分150分(缓解期)18例,150~450分(活动期)21例,分别测量肠壁厚度,对增厚肠壁根据能量多普勒超声表现进行Limberg分型,并分别进行CEUS,对比分析上升时间、峰值强度、平均渡越时间、峰值降半时间、上升斜率及达峰时间的差异。结果活动期患者的肠壁厚度、峰值强度及上升斜率明显高于缓解期,差异均有统计学意义(P均0.05)。活动期LimbergⅠ型1例,LimbergⅡ型4例,LimbergⅢ型10例,LimbergⅣ型6例;缓解期LimbergⅠ型10例,LimbergⅡ型7例,LimbergⅢ型1例。活动期肠壁血流以LimbergⅢ、Ⅳ型为主,缓解期以Ⅰ、Ⅱ型为主,差异有统计学意义(P0.001)。结论 CEUS可为克罗恩病活动度的评估提供定量资料,具有一定的临床应用价值。
[Abstract]:Objective to investigate the feasibility of CEUS in assessing the activity of Crohn's disease. Methods 39 patients with Crohn's disease were retrospectively analyzed. The thickness of intestinal wall was measured, and the thickened intestinal wall was classified by Limberg according to the energy Doppler ultrasound. Then the rising time, peak intensity, average transit time, half time of peak drop were compared and analyzed. Results the intestinal wall thickness, peak intensity and rising slope of active patients were significantly higher than those in remission period. The difference was statistically significant (P < 0.05). 1 case of active Limberg type 鈪，

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