门脉高压性胃肠病的CT表现及其临床意义  

CT Manifestation and Clinical Significance of Portal Hypertensive Gastroenteropathy

作　　者：薛雁山[1] 王峻[1] 蔡强[2] 

机构地区：[1]山西医科大学第二医院影像科,太原030001 [2]山西省人民医院影像科CT室,太原030002

出　　处：《中国医学影像学杂志》2004年第3期171-173,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨失代偿期肝硬化 (decompensatedcirrhosis ,DCC)患者胃和小肠变化的CT表现及其临床意义。材料和方法 :分析 5 5例经临床、实验室和影像学检查证实为DCC的CT资料。将胃壁厚度 >10mm、小肠壁厚度 >5mm ,作为胃、小肠壁增厚的判断标准。同时观察腹水与脾肿大的存在及其程度和静脉曲张。统计分析DCC病例胃和小肠壁增厚的发生率及其表现类型。结果 :DCC病例胃 /小肠壁增厚的发生率为 85 .5 %。CT表现类型包括 :胃壁增厚 (5 / 2 7,18.5 %)、小肠壁增厚 (2 0 / 42 ,47.6%)和二者皆有 (2 2 / 5 5 ,40 %)。静脉曲张、重度脾肿大、和腹水在有和无胃肠道壁增厚中发生率之间无差异 (P >0 .0 5 )。结论 :胃和小肠壁增厚是DCC常见的CT表现。Purpose: To explore CT manifestation and clinical significance of stomach and intestine in patient with decompensated cirrhosis(DCC). Materials and Methods: CT data of 55 patients with DCC proved by clinic,laboratory and imaging exainations were analysed. That the gastric wall was more than 10mm and intestinal wall was more than 5mm were interpreted to abnormal.The appearances of varicose vein,splenomegaly and ascites with hypertensive gastroenteropathy incidences were analysed statistically. Results: Incidences of thickening gastrointestinal wall in patients with DCC were 85.5%(47/55).CT scans showed that thickening gastric wall was in 5/27 cases (18.5%),intestinal wall 20/42(47.6%),and both gastric、intestinal wall 22/55(40.0%). There were no significant difference in incidences of varicose,severe splenomegaly and ascites between with and without portal hypertensive gastroenteropathy (P>0.05). Conclusion: The thickening wall of stomach and intestine is a common CT manifestation in DCC.

关 键 词：门脉高压性胃肠病 失代偿期肝硬化 DCC CT 静脉曲张 

分 类 号：R57[医药卫生—消化系统] R816.5[医药卫生—内科学]