肠道超声波在怀孕期间IBD的诊断性能和可行性:系统性审查和叙述综合
Julie Pillet1, Julia Voirol-Perrin2, Myriam Martel3
1Division of Internal Medicine, Hôpital de la Tour, Geneva, Switzerland.
肠道超声波 (IUS) 显示出对监测孕妇炎症性肠病 (IBD) 活动的前景. 然而,目前的数据有限,需要进一步研究,使用标准化的比较进行准确的评估.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 医疗成像医学成像
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病和性结肠炎,在怀孕期间对母亲和胎儿的健康构成风险.
- 对IBD活动的非侵入性监测对于优化妊娠结果至关重要.
- 关于在孕妇IBD患者中使用肠道超声波 (IUS) 的数据有限.
研究的目的:
- 评估IUS的诊断性能和可行性,以监测整个怀孕期间的IBD活动.
- 评估IUS在检测孕妇IBD患者活跃疾病和缓解的准确性.
主要方法:
- 通过使用MEDLINE,Cochrane图书馆,EMBASE和Web of Science进行了系统的文献审查.
- 搜索了关于超声波,妊娠和IBD (克罗恩病和性结肠炎) 的研究,直到2024年4月.
- 包括观察性研究和摘要,通过交叉引用进行额外的搜索.
主要成果:
- 从264个引用中选择了5项研究,在疾病活性评估中表现出高度的异质性.
- 肠道神经系统表现出良好的特异性 (83-98%),但对检测活跃IBD的敏感性低 (33-84%).
- 一项研究报告了80%的灵敏度和92%的IUS在检测缓解中的特异性;子宫大小限制了怀孕后三个月的可视化.
结论:
- 内置肠道系统是一种实用的,非侵入性的工具,用于监测孕妇的IBD活动.
- 目前关于这种人群IUS精度的文献很少.
- 需要使用标准化参考比较器进行进一步的研究,以确定IUS的疗效.
更多相关视频
07:05Fluorescence-mediated Tomography for the Detection and Quantification of Macrophage-related Murine Intestinal Inflammation
Published on: December 15, 2017
07:38Multimodal Quantitative Phase Imaging with Digital Holographic Microscopy Accurately Assesses Intestinal Inflammation and Epithelial Wound Healing
Published on: September 13, 2016
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Ultrasonography
During an ultrasonography procedure, a handheld device called...
