大肠充盈超声检查在诊断炎症性肠病及大肠癌中的对比研究  

Bowel Contrast Ultrasonography in the Diagnosis of Intestine Inflammatory Disease and Colorectal Cancer

作　　者：唐凤珍[1] 范志刚[2] 柏艳红[1] 陆文明 余庆红[1] 饶洪杰[1] 郭建康[1] 

机构地区：[1]西安交通大学附属汉中三二O一医院功能科,陕西省汉中市723000 [2]西安交通大学附属汉中三二O一医院肿瘤科,陕西省汉中市723000 [3]浙江省湖州第一医院超声科

出　　处：《中国超声医学杂志》2012年第9期832-834,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨经大肠充盈超声检查在诊断炎症性肠病及大肠癌中的的应用价值。方法对临床诊断明确的炎症性肠病即Crohn病(CD)24例、溃疡性结肠炎(UC)31例,与大肠癌30例对比观察大肠超声图像特点并与结肠镜所见情况比较。结果经超声检查Crohn病和大肠癌的肠壁增厚例数明显高于溃疡性结肠炎,大肠癌肠系膜淋巴结肿大的比例较高,在彩超多普勒血流频谱显示大肠癌和炎症性肠病的收缩期峰值流速及舒张末期最低流速的差异方面,均有统计学意义。结论大肠充盈超声检查简便易行,在声像图上炎症性肠病和大肠癌的表现有特点,对病变的部位、范围、性质的判断具有较高的准确性,与肠镜检查结合可明显提高炎症性肠病和大肠癌的检出率和诊断率。Objective To investigate the vale of bowel contrast ultrasound in the diagnosis of colorectal cancer and inflammatory bowel disease. Methods 24 cases of Crohn＇s disease （CD） , 31 cases of ulcerative colitis （UC）, 30 cases of colorectal cancer with known clinical diagnosis were compared by ultrasound images and findings of colonosco-py. Results By ultrasound examination,bowel wall thickening of Crohn＇s disease and colorectal cancer patients was significantly higher than that of ulcerative colitis, colorectal cancer had a higher proportion of mesenteric lymph nodes, the systolic and diastolic peak flow velocity variations of colorectal cancer and inflammatory bowel disease were statisti-cally significant. Conclusions On the sonogram Crohn＇s disease, ulcerative colitis and colorectal cancer had their own performance characteristics. It is simple, accurate and heipfult to determine the location, extent and nature of the lesion, combining with colonoscopy,it can significantly improve the detection rate of colorectal cancer and Intestine inflamma-tory Disease.

关 键 词：大肠超声 CROHN病 溃疡性结肠炎 大肠癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R574[医药卫生—诊断学] R735.34[医药卫生—临床医学]