克罗恩病的小肠造影表现及诊断要点
Chinese Journal of Gastroenterology and Hepatology(2018)
Abstract
目的 探讨克罗恩病(Crohn's disease,CD)的小肠造影表现及诊断要点.方法 结合临床症状、体征、内镜和病理,回顾性分析73例CD住院患者的小肠造影表现.结果 73例患者中,男41例,女32例,年龄15 ~78岁,中位年龄31岁.临床主要表现为腹痛65例、腹胀30例、腹泻35例、消化道出血18例、发热17例、体质量减轻42例;10例伴口腔溃疡或有口腔溃疡病史,20例有肛周病变或肛瘘形成病史.小肠造影显示,52例(71.23%)病变呈节段性分布;49例(67.12%)病变位于肠壁一侧呈偏心性分布;54例(73.97%)有肠管狭窄;47例(64.38%)表现为纵行溃疡和/或多发溃疡纵行排列;11例(15.07%)有“卵石征”;7例(9.59%)有瘘管显示.结论 小肠造影显示,肠管病变呈“节段性、偏心性和纵行性”分布,是CD的诊断要点.“卵石征”和瘘管或窦道的显示,则更加支持CD的诊断.
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Key words
Small intestine imaging,Crohn's disease,Diagnosis
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