摘要
目的 评估肠道低张CT造影检查方法 在炎症性肠病的影像诊断中的作用并探讨其进一步应用价值.方法 回顾性分析41例经确诊的炎症性肠病患者的临床资料及肠道低张CT造影检查影像资料,其中溃疡性结肠炎24例,克隆恩病17例.结果 对于溃疡性结肠炎活动期的低张CT造影检查图像常见表现为肠壁节段性增厚、肠黏膜强化、结肠袋变浅消失及肠系膜小血管增生、淋巴结增大等表现.克隆恩病活动期典型表现为多节段性肠壁异常强化、肠壁不同程度增厚及肠系膜血管"梳状征"、淋巴结增大等.结论 活动期炎症性肠病在肠道低张CT造影检查的影像表现具有一定的相对特征性,作为一种无创性检查在该病的诊断中具有一定的应用价值.
Objective To evaluate the value of hypotonic CT enterography in the diagnosis and treatment of inflammatory bowel disease.Methods The clinical document and hypotonic CT enterography images of 41 patients with inflammatory bowel disease were analyzed retrospectively,including 24 cases of ulcerative colitis and 17 cases of Crohn's disease.Results For the active stage of ulcerative colitis,the common manifestations of hypotonic CT enterography were segmental thickening of the intestinal wall,enhancement of the intestinal mucosa,shallow disappearance of the colonic pouch,proliferation of small mesenteric vessels and enlargement of lymph nodes.In the active stage of Crohn's disease,the abnormal enhancement of the multi segmental intestinal wall,the thickening of the intestinal wall in different degrees,the"comb"sign of the mesenteric vessels,and the enlargement of the lymph nodes were found.Conclusion The imaging features of active inflammatory bowel disease in hypotonic CT enterography are relatively characteristic.As a non-invasive examination,it has certain application value in the diagnosis and follow-up of the disease.
作者
王聚宝
朱文钟
沈玉英
陈双庆
WANG Ju-bao;ZHU Wen-zhong;SHEN Yu-ying;CHEN Shuang-qing(Department of Radiology,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou,Jiangsu,215001,China)
出处
《中国血液流变学杂志》
CAS
2020年第3期389-391,共3页
Chinese Journal of Hemorheology
关键词
炎症性肠病
X线
断层成像
造影
inflammatory bowel disease
X-ray
tomography
enterography
作者简介
王聚宝(1980-),男,山东高密人,硕士,副主任医师,研究方向:肿瘤影像诊断。
