Value of Multi-slice Spiral Computed Tomographic Enterography in the Diagnosis of Inflammatory Bowel Disease

doi:10.7517/issn.1674-0475.200806

Abstract

Abstract: The purpose of this study is to explore the value of multi-slice spiral computed tomography enterography (CTE) in the diagnosis and evaluation of inflammatory bowel disease (IBD). A total of 150 patients with clinically suspected IBD were included in the study, and 102 of them were clinically confirmed. The clinical diagnosis value of CTE for IBD was analyzed. Compared with the results of colonoscopy, the accuracy of positioning the diseased bowel segment was analyzed. In patients with Crohn's disease (CD) and ulcerative colitis (UC), the intestinal wall thickened, abnormally strengthened, stenosis and mesenteric vascular proliferation was more common than ordinary enteritis, of which the intestinal wall was abnormally strengthened and thickening of the intestinal wall had high diagnostic efficiency for IBD.CTE and colonoscopy had a high consistency in the detection of CD and UC lesions (P<0.001).The CTE showed that thick intestinal wall, stratified enhancement, and mesenteric vascular proliferation was more common in the active stage patients (P<0.05). CTE has good diagnostic value for IBD, can accurately locate the diseased intestinal segment, and has good clinical value for the evaluation of CD activity.

Key words: inflammatory bowel disease, CT enterography, Crohn's disease, ulcerative colitis, digestive endoscopy

ZHANG Yongxue, SHAN Hua, ZHOU Jinbin. Value of Multi-slice Spiral Computed Tomographic Enterography in the Diagnosis of Inflammatory Bowel Disease[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(2): 315-319.

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