摘要
目的 采用消化道气钡双重造影双对比显示结肠黏膜的细微结构诊断克隆病,对疾病的早期发现、诊断和治疗有重 要意义。方法 12例患者在东芝数字胃肠机上采用低张、气钡双重造影,间断透视观察、点片并行消化内镜检查取 病理组织活检。结果 本组12例中,4例见典型卵石状充盈缺损,10例见有与肠腔长轴一致的龛影,经病理证实为克 罗恩病。结论 正确合理地使用X线气钡双重造影检查,对提高克罗恩病的诊断具有重要的作用。
Objective Using the digestive tract pneumobarium double contrast double contrast the fine structure of the colonic mucosa, diagnosis of crohn's disease found higher rates, early discovery, diagnosis and prevention of disease has the vital significance. Methods In Toshiba digital gastrointestinal machine to 12 patients with low, pneumobarium double contrast, discontinuous perspective to observe and point and part in olin pass digestive endoscopy and pathological tissue. Results In 12 cases of apparent X-ray changes, 4 cases of saw a typical pebble shape filling defect, 10 cases there was consistent with the long axis of the lumen of the niche. Confirmed by pathology for crohn's disease. Conclusion Correct use X-ray reasonably, to improve the diagnosis of crohn's disease plays an important role.
【关键词】气钡双重造影;克罗恩病;X线摄影
【中图分类号】R574;R814.4
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2015.05.013
前言
克隆氏病(Crohn)过去又称局限性肠炎、节段性 肠炎,是一种慢性炎性肉芽肿性疾病,多见于15~30 岁青年,病因尚不明确,起病缓慢,病程较长,可达 数月或数年,常见症状为腹痛、腹泻、低热,但无特 异性,梗阻是最常见的并发症。本病可累及消化道任 何部位,以回肠末端和右半结肠为主[3,4],以发作和 缓解交替为特征。常呈节段性分布。病理改变主要为 肠壁增厚,黏膜表面形成非干酪样肉芽肿结节,还可 发生深浅不一的溃疡,深者可穿破肠壁。
罕少疾病杂志
第22卷, 第 5 期
2019年11月
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