溃疡性结肠炎气钡双对比造影与结肠镜对照研究  

The correlative study of double contrast barium enema and colonoscopy for ulcerative colitis

作　　者：张宗欣[1] 杨金永[1] 田军[1] 汝成林 陈燕[2] 

机构地区：[1]山东省医学影像学研究所,山东济南250021 [2]山东省立医院消化内科,山东济南250021

出　　处：《医学影像学杂志》2014年第9期1528-1530,共3页Journal of Medical Imaging

摘　　要：目的探讨气钡双对比造影对溃疡性结肠炎的临床诊断价值。方法对有完整临床资料的42例溃疡性结肠炎患者的临床表现、影像学资料、结肠镜表现进行回顾性研究。结果溃疡性结肠炎表现为病变自直肠逆行向上呈连续性发展。早期:结肠边缘见针刺状突出或棘状突起及溃疡轴位像的"靶样征";急性期:散在多发的斑点状及不规则形龛影,出现"锯齿征"及"纽扣征";慢性期:局部肠管呈铅管样狭窄及假息肉形成。结论结肠气钡双对比造影检查是诊断溃疡性结肠炎疾病的一种简便而可靠的方法.其特异的影像学表现对溃疡性结肠炎的早期诊断有重要的意义。Objective To study the clinical application value of double contrast barium enema in the diagnosis and differ- entiation of ulcerative colitis（UC）. Methods The clinical, imaging and colonoscopy data of 42 cases of UC were studied retrospectively. Results Ulcerative colitis usually starts in the rectum and may extend proximally. The early change was spur or target sign which can be observed on the colon conture. In the active stage the mottled and irregular niches were the characteristic performance, the serrated sign and botton sign were found in the stage. In the chronic stage region nar- rowing of colonic lumen was as like as leaded tube,and pseudpolyps formation were seen. Conclusion The double contrast barium enema is a convenient and reliable examination to diagnose ulcerative colitis, the specific imaging findings in the ul- cerative colitis has important diagnostic value.

关 键 词：气钡双对比造影 结肠镜 溃疡性结肠炎 X线诊断 

分 类 号：R574.6[医药卫生—消化系统] R814.4[医药卫生—内科学]