MSCT小肠造影与双气囊小肠镜在小肠疾病诊断中的价值  

Multislice CT enterography(MSCTE) and double-balloon enteroscopy in the diagnosis of small intestine diseases

作　　者：斯洋[1] 潘杰[1] 黄崇权[1] 洪瑞镇[1] 

机构地区：[1]温州市第二人民医院放射科,浙江325000

出　　处：《放射学实践》2011年第3期325-328,共4页Radiologic Practice

摘　　要：目的:比较和探讨MSCT小肠造影与双气囊小肠镜(DBE)检查在小肠疾病诊断中的临床应用价值。方法:对临床高度怀疑小肠疾病的42例患者分别行小肠造影MSCT扫描和DBE检查,结合内窥镜活检病理检查,比较两者对小肠疾病的检出率和诊断的准确性。结果:42例中MSCT小肠造影发现病变32例,DBE检查发现病变33例,检查阳性率分别为76.2%和78.5%。其中小肠癌12例(其中1例因病变范围较小CT漏诊),淋巴瘤6例,小肠Crohn病9例,小肠间质瘤4例,小肠血管瘤1例,小肠结核1例,阴性9例。结论:MSCT小肠造影与DBE检查都是小肠疾病较好的检查方法,两种方法在诊断小肠疾病时可以优势互补,对小肠疾病的术前定位、定性以及鉴别诊断具有较高的临床应用价值。Objective：To compare and evaluate the application value of MSCTE and double-balloon enteroscopy（DBE） in the diagnosis of small intestine diseases.Methods：42 patients with highly clinically suspected small intestine diseases underwent MSCTE and DBE examinations,combined with endoscopic biopsy so as to compare the detection rate of MSCTE and DBE in small intestinal diseases and the diagnostic accuracy.Results：Of the 42 patients,MSCTE showed lesions in 32 cases,DBE examination revealed lesions in 33 cases.There were small intestine cancer（n=12） including one case missed by CT for a small lesion,lymphoma（n=6）,crohn disease（n=9）,small intestinal stromal tumor（n=4）,small intestine angioma（n=1）,tuberculosis of small intestine（n=1）,and negative（n=9）.Conclusion：MSCTE and examination with DBE are a good way to check the small intestine diseases.MSCTE is well tolerated by patients and can show the narrow segment that enteroscopy can not pass through;images revealed by DBE are clear and intuitive.These two methods are mutually complementary in the diagnosis of intestinal diseases.They are very valuable to exact pre-operational diagnosis in patients with small intestine diseases and differential diagnosis.

关 键 词：小肠疾病 小肠造影 体层摄影术 X线计算机 小肠镜 诊断 

分 类 号：R574[医药卫生—消化系统]