克罗恩病CT与MRI监测价值研究进展  

Advances in CT and MRI Monitoring of Crohn’s Disease

作　　者：陈云辉 杨亚英[1] 彭超[1] 胡娟[1] CHEN Yunhui;YANG Yaying;PENG Chao;HU Juan(Medical Imaging Department,First Affiliated Hospital of Kunming Medical University,Kunming 650032,China;Department of Radiology,Gejiu People's Hospital,Honghe 661000,China)

机构地区：[1]昆明医科大学第一附属医院医学影像科,昆明650032 [2]个旧市人民医院放射科,云南红河661000

出　　处：《CT理论与应用研究（中英文）》2021年第6期785-791,共7页Computerized Tomography Theory and Applications

基　　金：云南省高层次卫生计生技术人才培养经费(H-2019067)。

摘　　要：克罗恩病是一种病程长、演变复杂且累及范围广的疾病,活动期与缓解期交替,严重影响患者生活质量。如何准确、全面地识别、评估疾病的发生、发展和转归,比如是否处于活动期、肠管狭窄性质、有无其他系统病变等,对指导治疗尤其重要;仅依赖临床指标或内镜检查的评价方式,存在缺陷,影像学的监测作用不应忽视。本文将重点阐述CT与MRI在监测克罗恩病活动性、纤维化、肠腔狭窄、瘘管与脓肿、消化道外病变中的价值,介绍相关的新技术应用现状。Crohn’s disease, with alternating phases of activity and remission holds the characteristics of a long course, complex evolution and extensive involvement,, which have a huge impact on the life quality of patients.How to accurately and comprehensively identify and assess the onset, progression and regression of the disease,such as whether it is in the active phase, the nature of intestinal strictures, and the presence of other systemic lesions, is particularly important to guide treatment. Evaluation modalities that rely solely on clinical indicators or endoscopy are increasingly recognized as flawed by studies. With increased disease awareness and rapid development of examination modalities, the role of medical imaging in this disease cannot be ignored. In this paper we will focus on the value of CT and MRI for monitoring Crohn’s disease in active, fibrosis, intestinal luminal strictures, abscess/fistulas, and extragastrointestinal lesions, and also introduce the application of related advanced technologies.

关 键 词：克罗恩病 活动性 纤维化 CT MRI 

分 类 号：R814[医药卫生—影像医学与核医学]