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多层螺旋CT成像技术在克罗恩病诊断中的应用价值 预览 被引量:3

The value of multi-slice spiral CT imaging technique in the diagnosis of intestinal Crohn's disease
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摘要 目的探讨多层螺旋CT(MSCT)成像技术在克罗恩病(CD)诊断中的应用价值。方法选择2010年7月至2012年4月苏州市立医院经临床、内镜、病理学等方法证实并均有MSCT平扫和增强扫描检查完整资料的CD患者72例。所有病例均行肠道清洁,并在检查前口服足量等渗2.5%甘露醇水溶液,充分扩张肠腔后,作MSCT平扫和增强扫描,分别获得平扫与增强的轴位图像,经计算机处理后进行多平面重建并观察。结果72例CD患者中空肠与回肠同时受累10例,回肠与结肠同时受累15例,病变累及回盲瓣26例。病变肠段236处,呈多节段跳跃式分布;所有病变部位均见肠壁增厚,其中肠壁分层环壁增厚53处,偏侧(系膜侧)性增厚82处,多节段混合性增厚101处;肠腔狭窄与肠壁增厚相伴存在;黏膜异常强化225处,强化程度视病变活动性而异;肠系膜血管增粗增多101处,肠系膜淋巴结增大增多91处;并发不全梗阻4例,脓肿形成2例。结论MSCT以口服等渗2.5%甘露醇水溶液充盈肠腔并作增强扫描结合多平面重建技术,对CD的定位、病变活动性的判断、并发症的显示均有较高诊断价值。 Objective To investigate the value of multi-slice spiral CT (MSCT) imaging technique in the diagnosis of intestinal Crohn's disease (CD). Methods MSCT plain scan and enhanced scan data of 72 patients with pathologically confirmed CD in Suzhou Municipal Hospital North from July 2010 to April 2012 were retrospectively analysed. All cases did bowel cleaning and orally taken sufficient quantities of isotonic 2.5% mannitol solution in order to expand enterocoel fully before undergoing MSCT examination.Axial images of scan and enhancement and three-dimensional reconstruction images were acquired and observed. Results The lesions located at jejunum and rileum in 10 patients, ileum and colon in 15 patients, jileocecal valve in 26 patients ; 236 lesions were observed and distributed discontinuously. All lesions showed bowel wall thickening, mural stratification and circular thickening in 53 lesions, unilateral thickening in 82 lesions, multiple segmental mixed thickening in 101 lesions; luminal narrowing coexisted with bowel wall thickening; mucosa abnormal enhancement in mucosa in 225 lesions, and the degree of enhancement depended on disease activity; thickening and increasing of mesenteric vessel in 101 lesions, hickening and increasing of mesenteric lymph node in 91 lesions; 4 cases with incomplete obstruction and 2 cases with abscess formation. Conclusion MSCT combined with enhanced scan and reconstruction technique has high diagnostic value in lesion localization, judgement of activity degree and showing cmplications.
作者 沈宣文 陈浩 马建明 郑志勇 庄启湘 庞智 尹少朋 SHEN Xuan-wen, CHEN Hao, MA Jian-ming, ZHENG Zhi-yong, ZHUANG Qi-xiang, PANG Zhi, YIN Shao-peng.( Department of Radiology, Suzhou Municipal Hospital North, Suzhou 215008, China)
出处 《中华消化病与影像杂志(电子版)》 2013年第1期20-22,共3页 Chinese Journal of Digestion and Medical Imageology(Electronic Editon)
关键词 体层摄影术 螺旋计算机 克罗恩病 诊断 Tomography, spiral computed Crohn's disease Diagnosis
作者简介 通信作者:庞智,Email:pangzhi0273@sina.com
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参考文献15

  • 1史济华,陆星华.CT和MRI对克罗恩病的诊断价值[J].胃肠病学,2006,11(9):561-563. 被引量:4
  • 2Bernstein CN, Loftus EV Jr, Ng SC, et al. Hospitalisations and surgery in Crohn's diseas. Gut, 2012, 61 (4) :622-629. 被引量:1
  • 3Umsehaden HW, Szolar D, Gasser J, et al. Small-bowel disease; comparison of MR enteroelysis imaging wuth conventional enteroclysis and surgical findings. Radiology, 2000,215 (3) :717-715. 被引量:1
  • 4Buehner AM,Wallace MB. Future expectations in digestive endoscopy:competition with other novel imaging techniques Best Pract Res Clin Gasteoenterol , 2008, 22 (5): 971-987. 被引量:1
  • 5朱庆强,朱文荣,史玉振,童明敏,林艳飞,王中秋.多层螺旋CT及消化内镜对克罗恩病诊断的价值[J].医学研究生学报,2011,24(2):182-186. 被引量:13
  • 6Li F , Guerdu SR , De Petris G , et al . Retention of the capsule endoscope : a single-center experience of 1000 capsule endoscopy preceduers. Gastrointest Endosc, 2005, 68(1) :174-180. 被引量:1
  • 7Gere RM, Balthazar E J, Ghahermani GG, et al. CT features of ulcerative colitis and CD disease. A JR Am J Roentgenol, 1996,167 ( 1 ) :3-15. 被引量:1
  • 8Fei M, Wang ML, Tang YH. New progress in CT and MRI examination and diagnosis of small intestinal tumors. World J Gastrointest Oncol, 2010, 2(5): 222-228. 被引量:1
  • 9Furukawa A, Saotome T, Yamasaki M, et al. Cross-sectional imaging in Crohn disease. Radiographics, 2004,24 ( 3 ) : 689-702. 被引量:1
  • 10Gourtsoyiannis NC, Papanikolaou N, Karantanas A. Magnetic resonance imaging evaluation of small intestinal Crohn's disease. Best Pract Res Clin Gastroenterol,2006, 20(1) :137-156. 被引量:1

二级参考文献60

  • 1任小军,章士正,张峭巍,刘海.小肠Crohn病的MRI诊断[J].中华放射学杂志,2004,38(11):1201-1205. 被引量:24
  • 2任小军,章士正,刘海,张联合.X线、CT和MRI对小肠Crohn病诊断价值的评价[J].中国医学计算机成像杂志,2005,11(3):184-189. 被引量:31
  • 3许建荣,朱炯,龚红霞,冯琦.胃肠道疾病的MDCT应用[J].中国医学计算机成像杂志,2005,11(5):335-341. 被引量:6
  • 4Mako EK, Mester AR, Tarjan Z, et al. Enteroclysis and spiral ct examination in diagnosis and evaluation of small bowel Crohn' s disease. Eur J Radiol, 2000, 35:168 - 175. 被引量:1
  • 5Liu YB, Liang CH, Zhang ZL, et al. Crohn disease of small bowel: multidetector row CT with CT enteroclysis, dynamic contrast enhancement, CT angiography, and 3D imaging. Abdom Imaging, 2006, 31: 668 - 674. 被引量:1
  • 6中华医学会消化病分会炎症性肠病协作组.对我国炎症性肠病诊断治疗规范的共识意见[J].Ghin J Gastroenterol,2007,12:8-10. 被引量:3
  • 7Choi D, Jin Lee S, Ah Cho Y, et al. Bowel wall thickening in patients with Crohn' s disease: CT patterns and correlation with inflammatory activity. Clin Radiol, 2003, 58:68 - 74. 被引量:1
  • 8Gore RM, Balthazar EJ, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn's disease. AJR, 1996,167: 3- 15. 被引量:1
  • 9Minordi LM, Vecchioli A, Poloni G, et al. CT enteroclysis: multidetector technique (MDCT) versus single - detector technique (SDCT) in patients with suspected small - bowel Crohn' s disease. Radiol Med (Torino), 2007, 112: 1188- 1200. 被引量:1
  • 10Fishman EK, Wolf EJ, Jones B, et al. CT evaluation of Crohn's disease: effect on patient management. AJR, 1987, 148:537 - 540. 被引量:1

共引文献43

同被引文献20

  • 1任小军,章士正,张峭巍,刘海.小肠Crohn病的MRI诊断[J].中华放射学杂志,2004,38(11):1201-1205. 被引量:24
  • 2朱炯,许建荣,周滟,李磊,朱震亚.小肠克罗恩病的MRI诊断与小肠钡灌肠的比较分析[J].医学影像学杂志,2006,16(5):489-491. 被引量:6
  • 3Cullmann JL,Bickelhaupt S,Froehlich JM,et al.MR imaging in Crohn's disease:correlation of MR motility measurement with histopathology in the terminal ileum[J].Neurogastroenterol Motil,2013,25:749-577. 被引量:1
  • 4Baker ME,Walter J,Obuchowski NA,et al.Mural attenuation in normal small bowel and active inflammatory Crohn's disease on CT enterography:location,absolute attenuation,relative attenuation,and the effect of wall thickness[J].AJR Am J Roentgenol,2009,192:417-423. 被引量:1
  • 5Menys A,Helbren E,Makanyanga J,et al.Small bowel strictures in Crohn's disease:a quantitative investigation of intestinal motility using MR enterography[J].Neurogastroenterol Motil,2013,25:967-975. 被引量:1
  • 6Macarini L,Stoppino LP,Centola A,et al.Assessment of activity of Crohn's disease of the ileum and large bowel:proposal for a new multiparameter MR enterography score[J].Radiol Med,2013,118:181-195. 被引量:1
  • 7Fiorino G,Bonifacio C,Peyrin-Biroulet L,et al.Prospective comparison of computed tomography enterography and magnetic resonance enterography for assessment of disease activity and complications in ileocolonic Crohn's disease[J].Inflamm Bowel Dis,2011,17:1073-1080. 被引量:1
  • 8Placé V,Hristova L,Dray X,et al.Ileal adenocarcinoma in Crohn's disease:magnetic resonance enterography features[J].Clin Imaging,2012,36:24-28. 被引量:1
  • 9Bickelhaupt S,Froehlich JM,Cattin R,et al.Differentiation between active and chronic Crohn's disease using MRI smallbowel motility examinations-initial experience[J].Clin Radiol,2013,68:1247-1253. 被引量:1
  • 10Allen BC,Baker ME,Einstein DM,et al.Effect of altering automatic exposure control settings and quality reference mAs on radiation dose,image quality,and diagnostic efficacy in MDCT enterography of active inflammatory Crohn's disease[J].AJR Am J Roentgenol,2010,195:89-100. 被引量:1

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