增强CT对静脉硬化性结肠炎的诊断价值  

The diagnostic value of enhanced CT scan on phlebosclerotic colitis

作　　者：储海瑞 张德生[1] 何剑[1] 郑屹峰[1] 吴晓[1] CHU Hairui;ZHANG Desheng;HE Jian;ZHENG Yifeng;WU Xiao(Department of Radiology,Huzhou Center Hospital,Huzhou,Zhejiang Province 313000,China)

机构地区：[1]湖州市中心医院放射科,浙江湖州313000

出　　处：《实用放射学杂志》2021年第9期1473-1475,共3页Journal of Practical Radiology

基　　金：湖州市公益性应用研究一般项目(2019GYB39).

摘　　要：目的探讨静脉硬化性结肠炎(PC)的特征及增强CT诊断价值.方法回顾性分析19例PC患者的CT图像,并结合临床资料与肠镜结果,对其特点进行分析总结.结果19例PC患者CT检查均可见受累结肠壁增厚、水肿,周围肠系膜静脉广泛点状、线状钙化,其中10例病变肠壁周围可见渗出,8例周围间隙见淋巴结肿大.病变部位以累及升结肠及横结肠多见,7例累及全段结肠;5例伴发肠梗阻.结论PC以肠系膜血管点状、线状钙化为主要特征,CT对显示钙化较敏感,对诊断PC及评估病变范围具有重要价值.Objective To discuss the features of phlebosclerotic colitis(PC)and the diagnostic value of enhanced CT.Methods A retrospective review of 19 patients with PC was performed.We analyzed the CT image features,combined with clinical data and colonoscopy results,and summarized the characteristics of the disease.Results Thickening and edema of the colon walls with extensive punctate or linear calcification along the mesenteric venous were found in all the CT examination of the 19 PC cases,in which exudation around the diseased intestinal wall in 10 cases,and lymph node enlargement in the peripheral space in 8 cases.The disease site was more common in the ascending colon and transverse colon,and 7 cases involved the entire colon.5 cases were accompanied by intestinal obstruction.ConcIusion PC is mainly characterized by punctate or linear calcification along the mesenteric venous.CT is more sensitive to show calcification,and has important value in diagnosing PC and assessing the extent of lesions.

关 键 词：静脉硬化性结肠炎 计算机体层成像 钙化 

分 类 号：R574.62[医药卫生—消化系统] R814.42[医药卫生—内科学]