crohn肠病的多层螺旋ct诊断

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1、万方数据塞旦丝塾堂壅查!Q!!笙!Q旦筮!!鲞筮!!塑』里!!箜垦塑i旦!!Q!!：!Q!Q!!旦!：!!!堕Q：!鱼Crohn肠病的多层螺旋CT诊断顾建华，钱金娣，孙大林(江苏省盐城市第一人民医院影像科，江苏盐城224001)·1473·摘要：目的总结多层螺旋CT(MSCT)在诊断Crohn肠病中的应用价值。方法观察21例经临床、影像和病理3方面综合诊断为Crohn肠病的MSCT表现，分析其影像学特点。结果21例均表现为多节段肠壁增厚，其中直、乙状结肠受累2例，系膜缘增厚明显有13节段，肠壁均有不同程度强化。肠壁溃疡3例，瘘管2例，肠内瘘1例，肠梗阻2例，肠旁蜂窝织炎6

2、例，炎性包块或腹腔脓肿6例。肠系膜淋巴结肿大13例。系膜密度增高10例，继发肠间距增宽5例，系膜血管增粗、密集12例，梳子征8例。MIP和MPR技术更有助于全面显示病变。结论MSCT对Crohn肠病肠壁的病变，肠外并发症及肠系膜、血管、淋巴结异常均有良好显示，并能判断病程。指导临床治疗，不失为一较好的影像检查方法。关键词：腹部；Crohn病；体层摄影术，X线计算机doi：10．3969／j．issn．1002—1671．2010．10．023中图分类号：R572；R814．42文献标识码：A文章编号：1002—1671(2010)10一17—1473--04Multi—s

3、liceSpiralCTDiagnosisofCrohnEnteropathyGUJian--hua，QIANJin--di。SUNDa—lin(DepartmentofRadiology-theFirstPeople’sHospitalofYancheng。YanchengIJiangsuProivince224001-China)Abstract：ObjectiveToinvestigatethevalueofmulti—slicespiralCT(MSCT)indiagnosisofCrohnenteropathy．MethodsCTfindingsoftwenty

4、—onecasesofCrohnenteropathywhichwerediagnosedbyclinicincombinationwithradiologyandpathologywereanalyzed．ResultsMulti--segmentofintestinalwailsthickenedwereseeninallcases-includingtwocasesofrectalandsigmoidin—volved。mesentericmarginsobviouslythickenedin13segments-andenhancedinvaryingdegree

5、safteradministrationofcontrastme-dium．OtherCTfindingsincluded：intestinalulcersin3cases-fistulain2cases-enteralfistulainone。intestinalobstructionin2cases，para—intestinalphlegmonin6cases-inflammatorymassesorabscessesin6cases，mesentericlymphadenopathyin13cases。theden—sityofmesenteryincreased

6、in10cases，thesecondaryintestinaldistancewidenedin5cases-mesentericvesselsthickenedandconcen—tratedintensivein12casesandthesignofcombsin8cases．MIPandMPRweremoreconducivetOshowthefocusofinfectioncom—prehensively．ConclusionMSCTcandemonstrateexactlythelesionsofintestinalwallsofCrohndisease。an

7、ditscomplications。theabnormalitiesofparenteralmesenteric，bloodvesselsaswellaslymphnodes。whichishelpfulinevaluatingthecourseofthediseaseandguidingclinicaltreatment．Keywords：abdomen；Crohn’Sdisease；tomography。X—raycomputedCrohn病是一种与免疫异常，特别是细胞免疫缺陷、传染性感染及遗传有关的非特异性炎症，多发于小