Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2014, Vol. 10 ›› Issue (06): 801 -803. doi: 10.3877/cma.j.issn.1673-5250.2014.06.023

Special Issue:

Original Article

Color Doppler Ultrasound Diagnosis of Crohn Disease in Children

Zhiyuan Weng1(), Xue Xiao1, Youxiang Zhang1   

  1. 1. Department of Pediatrics, Guangzhou First People' s Hospital, Guangzhou 510180, Guangdong, China
  • Received:2014-08-06 Revised:2014-11-02 Published:2014-12-01
  • Corresponding author: Zhiyuan Weng
  • About author:
    (Corresponding author : Weng Zhiyuan, Email : )
Objective

To discuss the color Doppler ultrasound diagnosis of Crohn disease (CD) in children.

Methods

A total of 32 hospitalized cases of CD who were diagnosed by color Doppler ultrasound from January 2005 to May 2013 were selected into this study. The position and internal lesions of intestinal lesions, thickness of intestinal lesions, internal echo of intestinal wall were observed by color Doppler ultrasonography. Then distributions of internal blood flow were observed by high frequency probe. Clinical data of CD children were recorded and retrospectively analyzed. The study protocol was approved by the Ethical Review Board of Investigation of Guangzhou First People's Hospital. Informed consent was obtained from all participates' patients.

Results

The color Doppler ultrasonography results showed that, among 32 cases, 28 cases in accordance with clinical diagnosis by fibro-colonoscope, and the accordance rate was 87.5%. Among them, 13 cases (40.63%) with the jejunum and ileum bag piece,7 cases (21.88%) with ascending colon lesions, 6 cases (18.75%) with several visible lumen stenosis, 5 cases (15.63%) with lesions from the jejunum to ileum,1 case (3.13%) with only one visible lumen stenosis. Pediatric intestinal canal stenosis caused by CD was heavier, and occured in mesentery. Its proximal obvious expansion, enlargement of mucous membrane filling with defect shadow, showed the typical false polypoid or pebbles.

Conclusions

CD had special color Doppler ultrasonographic changes which could provide more accurate evidence for clinical diagnosis and treatment.

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