超声波参数对于儿童炎症性肠病的相关性
Alessandra Dell'Era1, Rosanna Cannatelli1, Francesca Ferretti1
1Gastroenterology Unit, Department of Biomedical and Clinical Sciences, University of Milan, Via Giovanni Battista Grassi, 74, 20157, Milan, Italy.
Journal of ultrasound
|July 4, 2023
概括
肠道超声波 (IUS) 可以有效检测儿科炎症性肠病 (IBD). 结合增加的肠壁加厚,改变肠道模式和中肠缩,可以提高儿童IBD的诊断准确性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像诊断成像的使用
- 炎症性肠病 (IBD) 的研究.
背景情况:
- 肠道超声波 (IUS) 是疑似儿科炎症性肠病 (IBD) 的首要诊断工具.
- 在儿童中精确检测IBD依赖于识别特定的超声波指标.
研究的目的:
- 评估各种IUS参数的诊断准确性,以检测儿科患者的IBD.
- 评估增加肠壁加厚 (BWT) 和其他超声波发现在确定IBD中的作用.
主要方法:
- 一组113名儿科患者 (年龄在2-18岁) 怀疑患有IBD,接受了IUS作为一线调查.
- 获得资格需要一个完整的静脉注射器,临床/生化评估,以及结肠直肠镜检查或一年的无事件随访.
主要成果:
- 23名患者 (20.4%) 被诊断为IBD (性结肠炎,克罗恩病,不确定的结肠炎).
- 多变量分析确定了增加的BWT (>3毫米),改变的IUS肠道模式 (IUS-BP) 和中肠缩 (MH) 作为IBD的显著独立预测因素.
- 虽然单个参数显示高特异性,但BWT,IUS-BP和MH的结合实现了IBD检测100%的特异性,尽管敏感性降低.
结论:
- 增加的BWT,MH和改变的声波模式是儿科IBD的独立超声波预测因素.
- 结合多个IUS参数可以提高IBD的诊断准确度,而不是仅依靠BWT.
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