摘要
目的探讨小肠原发性肿瘤的CT和消化道造影诊断。方法40例经手术、病理证实的原发性小肠肿瘤33例恶性和7例良性全做消化道钡餐造影,其中28例又经CT扫描检查。结果消化道造影见肠腔狭窄20例(13例恶性,7例良性),充盈缺损19例,(13例恶性,6例良性),肠梗阻13例,(10例恶性3例良性),管壁僵硬、黏膜破坏及环状皱襞消失主要见于恶性肿瘤(22例恶性)。CT扫描发现腹内肿物28例。结论消化道钡餐造影对小肠原发性肿瘤有良好的显示,还可以发现CT所不能显示的黏膜面,仍是小肠原发性肿瘤简便的首选检查方法,CT为重要的补充检查。
Objective To discuss the imaging diagnosis of primary small bowel tumors （PSBT）.Methods Forty patients with surgi- cally and pathologically proved PSBTs（33 malignant and 7 benign） underwent barium meal examinations.28 patients underwent additional CT scans. Results Barium meal examinations showed intestinal cavity stenoses in 20 cases （13 malignant and 7 benign）, intraluminal fill- ing defects in 19 cases （13 malignant and 6 benign）,intestinal obstructions in 13 cases （10 malignant and 3 benign）, intestinal wall stiff- ness ,mucosal destructions and circular fold disappearances in 22 cases （all malignant ）.On CT images of 28 cases who underwent CT scans, all patients were found to have intestinal soft tissue masses.Conclusion Barium meal examination is the first choice in the diagno- sis of PSBT because it can clearly visualize the presence of PSBTs and can reveal the mucosal surface invisible on CT scan. CT scanning can be taken as an important supplement. The combination of barium meal examination and CT scan can greatly elevate the diagnostic accuracy of PSBT.
出处
《实用医学影像杂志》
2008年第6期355-357,共3页
Journal of Practical Medical Imaging
关键词
小肠原发肿瘤
体层摄影术
X线计算机
钡餐造影
Small bowel tumor, primary
Tomograply, X-ray computed
Barium meal examination
作者简介
毛雨（1974-），女，天津市人，大学本学学历，主治医师，从事消化系统疾病的影像学诊断。
