Sonographic signs of neutropenic enterocolitis
Sonographic signs of neutropenic enterocolitis
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DOI：
10.3748/wjg.v12.i9.1397
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发表时间：
2006-03-07
影响因子：
4.3
通讯作者：
Braden, Barbara
中科院分区：
文献类型：
--
作者：
Dietrich, Christoph F.;Hermann, Stella;Braden, Barbara
目的：目的：探讨贫血性小肠结肠炎患者在诊断和随访时的超声表现。方法：对14例贫血性小肠结肠炎患者的超声表现进行描述，并对症状和临床结果进行评价。在所有贫血性小肠结肠炎患者中，回盲部的肠壁增厚>10 mm。肠壁增厚、血供丰富、腹腔积液多见。B超显示肠壁厚度与病死率相关（P < 0.03）。在11例存活的患者，临床症状的改善是伴随着逐步减少肠壁thickness.CONCLUSION：高端超声检查的肠道是一个有用的工具，用于诊断，评估预后和随访的患者与贫血性小肠结肠炎。超声检查显示的肠壁厚度反映了疾病的严重程度和病程，似乎可以预测临床结果。(C)2006年，WJG出版社。All rights reserved.
AIM: To investigate the sonographic features at time of diagnosis and follow-up in patients with neutropenic enterocolitis.METHODS: The sonographic findings in 14 patients with neutropenic enterocolitis were described and evaluated regarding symptoms and clinical outcome.RESULTS: In all patients with neutropenic enterocolitis, the ileocoecal region was involved with wall thickening >10 mm. A transmural inflammatory pattern, hypervascularity of the thickened bowel wall and free abdominal fluid were the common findings. The sonographically revealed thickness of the bowel wall was associated with lethal outcome (P < 0.03). In the 11 surviving patients, the improvement of clinical symptoms was accompanied by progressive reduction of intestinal wall thickness.CONCLUSION: High-end sonography of the bowel is a helpful tool for diagnosis, assessment of prognosis and follow-up of patients with neutropenic enterocolitis. The ultrasonographically revealed bowel thickness reflects the severity and the course of the disease, and seems to be predictive for the clinical outcome. (C) 2006 The WJG Press. All rights reserved.