消化管克罗恩病的影像学表现  

Radiographic presentations of gastrointestinal Crohn＇s disease

作　　者：王道才[1] 李春卫[1] 刘凯[1] 王海燕[1] 吴琼 

机构地区：[1]山东省医学影像学研究所,山东济南250021 [2]山东省聊城市中医医院

出　　处：《实用放射学杂志》2013年第12期1959-1962,共4页Journal of Practical Radiology

摘　　要：目的通过分析消化管克罗恩病不同检查方法的影像学表现，提高对消化管克罗恩病影像学诊断水平。方法对经临床病理确诊的24例消化管克罗恩病患者的影像资料进行回顾性分析。24例均行口服法小肠气钡双对比造影，3例行结肠气钡双对比灌肠检查，18例行CT口服甘露醇小肠检查，12例行MRI口服硫酸镁小肠检查。结果病变仅累及回肠末端14例，小肠多发常段6例，仅结肠受累2例，食管、胃、小肠同时受累2例；尖刺样溃疡3例，线样溃疡4例；“铺路石”征5例；多处管腔狭窄10例，1处管腔狭窄2例；瘘管形成2例，“梳”征10例，CT及MRI显示管壁不同程度增厚。结论综合应用不同检查方法，可显示消化管克罗恩病不同的病理变化及影像学特征，全面认识消化管克罗恩病影像学表现，有利于提高消化管克罗恩病诊断水平。Objective To improve the diagnostic level of digestive tract Crohn disease through exploring the different imaging manifestations. Methods Imaging features in twenty-four cases of Crohn＇s disease confirmed by pathology were retrospectively ana lyzed, in which all the twenty-four cases examined with X-ray double-contrast radiography of small bowel, three cases with barium enema, eighteen cases with CT enterography of Mannitol, twelve cases with MRI enterography of Magnesium sulfate. Results The distal ileum involved in fourteen cases, multiple parts in six cases, the lesion in two cases involved colon only, two cases involve the esophagus, stomach and small intestine in same time. Acuminte ulcer in three cases, linear ulcer in four cases, ＂cobble-stone＂ sign in five cases, ten cases multiple stenosis, one case single stenosis, two cases formed fistula, ＂comb＂ sign in ten cases. CT and MRI showing the thickened bowel wail. Conclusion Different modalities express the differential manifestations of pathology and imaging. Be familiar with the radiographic presentations of gastrointestinal Crohn＇ s disease will contribute to prove the diagnostic level of Crohn＇ s disease.

关 键 词：消化管 克罗恩病 X线摄影术 计算机体层成像 磁共振成像 

分 类 号：R57[医药卫生—消化系统] R814.41[医药卫生—内科学]