在胃肠COVID-19相关病变中使用成像技术的未决问题

А. М. Yurkovskiy, M. A. Boika
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摘要

目的系统整理和分析在 COVID-19 相关胃肠病变中使用成像技术的数据。 材料和方法。对 2020-2023 年间在 PubMed、EMBASE 和 Web of Science 系统中发表的、描述在确诊为 COVID-19 相关胃肠道病变的患者中使用成像技术的文献进行分析。 研究结果确定了COVID-19相关胃肠道病变在腹部成像中最常见的体征,评估了其发生率和大致的诊断意义。 得出结论。由于对之前描述的胃肠道病变放射学征象的敏感性、特异性和预后价值缺乏明确的认识,因此使用计算机断层扫描和超声波检查诊断 COVID-19 相关胃肠道病变受到了阻碍。此外,在 COVID-19 相关腹痛综合征中使用成像方法也没有明确的算法。这些问题的解决将优化影像学方法的使用并缩短诊断搜索的时间。
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Unresolved issues in the use of imaging techniques in COVID-19-associated lesions of the stomach intestine
   Objective. To systematize and analyze data on the use of imaging techniques in COVID-19-associated gastric and intestinal lesions.   Materials and methods. An analysis of publications in PubMed, EMBASE and Web of Science systems was carried out in the period 2020-2023, describing the use of imaging techniques in patients with a confirmed diagnosis of COVID-19-associated gastrointestinal lesions.   Results. The most frequent signs of COVID-19-associated gastric and intestinal lesions on abdominal imaging were identified, their incidence and approximate diagnostic significance were evaluated.   Conclusion. The use of computed tomography and ultrasonography for the diagnosis of COVID-19-associated gastrointestinal lesions is hampered by the lack of clear ideas regarding the sensitivity, specificity, and prognostic value of the previously described radiologic signs of gastrointestinal lesions. In addition, there is no clear algorithm for the use of imaging methods in COVID-19-associated abdominal pain syndrome. The solution of these issues will optimize the use of imaging methods and reduce the time of diagnostic search.
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