结肠嗜酸性肉芽肿影像学诊断──附7例B超、双重造影及CT回顾性分析  

Imaging diagnosis of colon eosinoplilic granuloma──Retrospective analysis of 7 cases by B-mode ultrasound, double-Contrast radiography and CT scan

作　　者：刘亦鸣[1] 邱水波[2] 董汉彬[3] 李明亮 王成林[3] 

机构地区：[1]深圳市福田区人民医院医学影像科,广东深圳518002 [2]深圳市红十字会医院影像科 [3]深圳市罗湖医院影像科 [4]大连市解放军高等医学专科学校附属医院影像科

出　　处：《中国临床医学影像杂志》1999年第4期270-271,305,共3页Journal of China Clinic Medical Imaging

摘　　要：目的：提高对结肠嗜酸性细胞肉芽肿影像学表现的认识。材料和方法：选择经手术和病理证实7例并有B超、双重造影和CT扫描检查资料完整的病例，回顾分析B超、双重造影和CT等表现。结果：B超检查的7例中，3例表现为均匀性回声增强实质性肿块，2例为不规则形混合回声块影；结肠双重造影有4例显示腔内充盈缺损并管腔狭窄，2例粘膜破坏，2例显示多病灶跳跃性病变；CT扫描中5例显示出病变，2例增强扫描后，见轻度强化。上述各项检查无1例诊断本病。结论：本病的影像学检查手段应以双重造影为主，B超和CT扫描为辅，如密切结合临床和实验室检查完全有可能提高其诊断率，但最后确诊仍需经结肠镜活俭或手术后病理证实。Objective: To analyse the imaging features of colon eosinphilic granuloma .Materials and Methods: 7 cases being of impactexamination results with B - mode ultrasound, double contrast radiography and CT scan were comfirmed at surgery and patho - histology .Toanalyse retrospectively the features by B - mode ultrasound, double - contrast method for the roentgen examination and CT scan .Results:B - ultrasound shows in 3 of 7 cases homogeneous hyper - echoic solid mass, 2 of which inhomogeneous mixture - echoic mass. Throughcolon double - contrast radiography, of 7 cases, 4 show filling defect and stenosis, 2 show destructive of mucoid memdrane, 2 show leap lesions. only 5 cases can be found being of lesions by CT scan, 2 of 5 cases being of enhancement lighty area after enhance contrast scan .Allthe above examinations can't be as the diagnostic methods of this disease. Conclusion: Double - contrast radiography was the main examination method for this disease, B - mode ultrasound and CT scan are the second methods .To be combined with clinical manifestation and laboratory investigaion will markedly improve diagnostic accuracy .To establish a definitive diagnosis, it rests mainly upon colon - endoscopebiopsy and pathologic - histologic examination.

关 键 词：嗜酸性肉芽肿 结肠 B超 结肠双重造影 CT 

分 类 号：R574.620.4[医药卫生—消化系统]