超声诊断非肿瘤性肠壁增厚性病变73例

Diagnostic value of ultrasonography in nontumorous wall-thickening diseases of the intestine:an analysis of 73 cases

目的:探讨超声检查在非肿瘤性肠壁增厚性病变诊断中的应用价值.方法:对临床诊断明确的非肿瘤性肠壁增厚性病变患者73例进行超声检查,观察超声图像特点.结果:非肿瘤性肠壁增厚性病变声像图特征性表现为肠壁增厚,回声减低,正常结构可消失.克隆病肠壁增厚最明显,多伴有肠瘘形成包块,易合并肠梗阻;溃疡性结肠炎以肠壁增厚为主,少伴有肠梗阻等并发症;肠结核多发于回盲部,多伴有肠粘连包块,可见肠间淋巴结回声和肠间积液.结论:超声检查可用于非肿瘤性肠壁增厚性病变的诊断与疗效观察.

AIM： To explore the diagnostic value of ultrasonography in non-tumorous wall-thickening diseases of the intestine. METHODS： Ultrasound was used to examine 73 patients with a clear diagnosis of non-tumorous wall-thickening diseases of the intestine. The characteristics of the images were determined. RESULTS： The ultrasonographic features of non-tumorous wall-thickening diseases of the intestine appeared to be thickening of the intestinal wall, reduction of echo, and absence of a normal constitution. Thickening of the intestinal wall was most obvious in Crohn＇s disease, which was often accompanied with intestinal fistula and mass lesions, and easily complicated with intestinal obstruction. Ulcerative colitis, which often occurs in the sigmoid colon and descending colon, mainly appeared as thickening of the intestinal wall, occasionally with complications such as intestinal obstruction. Intestinal tuberculosis, frequently occurring in the ileocecal junction, was always accompanied with ankylenteron mass lesions and lymphonodes, and ascites also could be seen in the intestines examined. CONCLUSION： Ultrasonography is useful in the diagnosis of non-tumorous wall-thickening diseases of the intestine and for observation of treatment effects.