肠超声诊断急性憩室炎-三种不同临床设置的技术方面

Q4 Medicine
A. Leş, I. Băncilă, A. Dimitriu, B. Cotruta, I. Pirvulescu, I. Lupescu, R. Iacob, C. Gheorghe
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引用次数: 0

摘要

急性憩室炎是结肠憩室病的常见并发症。诊断是基于临床表现,生物标志物和影像学。在许多中心,腹部超声检查是出现腹痛患者的第一个检查。肠道超声检查具有价格低廉、非电离、容易获得和可重复的优点,但需要经验丰富的操作人员,因此在临床实践中应用并不广泛。我们报告了一系列急性憩室炎病例,在三种不同的临床情况下使用肠超声来确定诊断:无并发症的憩室炎,脓肿并发症的憩室炎和肿瘤相关的憩室炎。患者入院检查,腹痛为主要症状。与传统超声检查一样,超声检查以3-5 MHz的探头开始,随后进行5-11 MHz的探头检查,充分检查肠袢,并根据超声检查标准确定急性憩室炎的诊断。所有患者均通过计算机断层扫描确诊,随后接受抗生素治疗。所有患者均有提示顶板炎症的超声特征,与提示急性憩室炎的CT扫描病变重叠。两种成像技术都能显示并发症和肠外改变。腹部超声是腹痛患者最常用的影像学检查方法。通过使用合适的传感器,可以准确诊断急性憩室炎及其并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bowel Ultrasound for Acute Diverticulitis - Technical Aspects in Three Different Clinical Settings
Acute diverticulitis is a frequent complication in patients with colonic diverticulosis. The diagnosis is based on the clinical presentation, biological markers and imaging. Abdominal ultrasonography is, in many centers, the first examination in patients presenting with abdominal pain. Bowel ultrasonography has the advantage of being an inexpensive, non-ionizing, readily available and repeatable examining method, but needs an experienced operator, and it is, thus, not widely used in clinical practice. We present a case series of acute diverticulitis, using bowel ultrasonography to establish the diagnosis in three different clinical settings: uncomplicated diverticulitis, abscess complicated diverticulitis and neoplasia associated diverticulitis. The patients were examined at admission, abdominal pain being the main symptom. The ultrasound examination started with a 3-5 MHz probe as in the case of classic ultrasound, followed by a 5-11 MHz probe examination that allowed adequate investigation of the bowel loops and establishing a diagnosis of acute diverticulitis based on ultrasonographic criteria. All patients had the diagnosis confirmed by a computer tomography scan and subsequently underwent antibiotic treatment. All patients had ultrasonographic characteristics suggesting parietal inflammation, overlapping with the lesions observed at CT scan which were indicative of acute diverticulitis. Both imaging techniques were able to show complications and extraintestinal alterations. Abdominal ultrasound is the imaging method most frequently used in patients presenting with abdominal pain. By using the appropriate transducer, acute diverticulitis and complications could be accurately diagnosed.
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来源期刊
Surgery, Gastroenterology and Oncology
Surgery, Gastroenterology and Oncology Medicine-Gastroenterology
CiteScore
0.30
自引率
0.00%
发文量
11
期刊介绍: Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.
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