小肠Crohn病的多排螺旋CT研究
被引量:7
A study on Crohn disease of small bowel by multi-detector helical CT
摘要
CT灌肠是将灌肠和CT相结合的一种成像技术,虽然传统的钡剂灌肠对诊断小肠疾病具有较高的敏感性,但其显示肠壁及邻近的结构欠佳;传统CT口服对比剂不易使小肠充分扩张,塌陷或扩张不充分的病变肠段与正常肠袢不易区分;内镜具有侵袭性,而且不能完整显示整段小肠。本研究采用小肠插管技术灌肠使肠管充分扩张后,行CT三期对比增强扫描,得CTA及多平面3D图像,观察Crohn病肠壁及肠外等异常改变。
出处
《中国临床医学影像杂志》
CAS
北大核心
2009年第3期212-215,共4页
Journal of China Clinic Medical Imaging
参考文献8
-
1Boudiaf M, Jaff A, Soyer P, et al. Small-bowel disease: prospective evaluation of muhl-detector row helical CT enteroclysis in 107 consecutive patients[J]. Radiology, 2004, 233(2): 358-344.
-
2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:30
-
3Turetschek K, Schober E, Wunderbaldinger P, et al. Findings at helical CT-enteroclysis in symptomatic patients with Crohn disease: correlation with endoscopic and surgical findings[J]. J Cornput Assist Tomogr, 2002, 26(4): 488-492.
-
4Lee SS, Ha HK, Yang SK, et al. CT of prominent pericolic or perienteric vasculature in patients with Crohn's disease: correlation with clinical disease activity and findings on barium studies [J]. AJR, 2002, 179(10): 1029-1036.
-
5Mazzeo S, Caramella D, Battolla L, et al. Crohn disease of the small bowel: spiral CT evaluation after oral hyperhydration with isotonic solution [J]. J Comput Assist Tomogr, 2001, 25 (4): 612- 616.
-
6Campo LD, Arfibas I, Valbuena M, et al. Spiral CT findings in active and remission phases in patients with Crohn disease [J]. J Comput Assist Tomogr, 2001, 25(5): 792-797.
-
7Wold PB, Fletcher JG, Johnson CD, et al. Assessment of small bowel Crohn disease: noninvasive peroral CT enterography compared with other imaging methods and endoscopy-feasibility study [J]. Radiology, 2003, 229(10): 275-281,
-
8Gore RM, Bahhazar E J, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn's disease[J]. AJR, 1996, 167(7): 3- 15.
二级参考文献10
-
1Semelka RC, Shoenut JP, Silverman R, et al. Bowel disease: prospective comparison of CT and 1.5-T pre- and postcontrast MR imaging with T1-weighted fat-suppressed and breath-hold FLASH sequences. J Magn Reson Imaging, 1991, 1: 625-632.
-
2Low RN, Francis IR. MR imaging of the gastrointestinal tract with IV gadolinium and diluted barium oral contrast media compared with unenhanced MR imaging and CT. AJR, 1997, 169:1051-1059.
-
3Rieber A, Aschoff A, Nussle K, et al. MRI in the diagnosis of small bowel disease: use of positive and negative oral contrast media in combination with enteroclysis. Eur Radiol, 2000,10: 1377-1382.
-
4Rieber A, Wruk D, Potthast S, et al. Diagnostic imaging in Crohn′s disease: comparison of magnetic resonance imaging and conventional imaging methods. Int J Colorectal Dis, 2000, 15: 176-181.
-
5Knollmann FD, Dietrich T, Bleckmann T, et al. Magnetic resonance imaging of inflammatory bowel disease: evaluation in a rabbit model. J Magn Reson Imaging, 2002, 15:165-173.
-
6Low RN, Francis IR, Politoske D, et al. Crohn′s disease evaluation: comparison of contrast- enhanced MR imaging and single-phase helical CT scanning. J Magn Reson Imaging, 2000, 11: 127-135.
-
7Umschaden HW, Szolar D, Gasser J, et al. Small-bowel disease: comparison of MR enteroclysis imaging with conventional enteroclysis and surgical findings. Radiology, 2000, 215: 717-725.
-
8Koh DM, Miao Y, Chinn RJ, et al. MR imaging evaluation of the activity of Crohns disease. AJR, 2001, 177: 1325-1332.
-
9Patrick CF, Giles WS. Margulis and Burhenne′s alimentary tract radiology. Fifth Edition. Mosby:Year Book, 1994.594-598.
-
10Gore RM, Balthazar EJ, Ghahremani GG, et al. CT features of ulcerative colitis and Crohn′s disease. AJR, 1996, 167: 3-15.
共引文献29
-
1Li-Wei Dong,Xiao-Ning Sun,Xiao-Zhao Zhuang,Fei Wang,Yi-Yao Chen,Zhou-TaoHe,Xiang-Yang Han,Cheng Lan.Study on the role of magnetic resonance enterography in valuating infliximab therapy in small bowel crohn's disease[J].Journal of Hainan Medical University,2019,25(12):16-19.
-
2陈鹏,梁慧,李西河.X线钡剂透视、多层螺旋CT对小肠Crohn病的诊断价值[J].中华消化病与影像杂志(电子版),2013(6):276-279.
-
3任小军,章士正.MR注气小肠灌肠及水成像对小肠疾病诊断价值的比较[J].放射学实践,2006,21(3):223-227. 被引量:11
-
4陆星华.克罗恩病诊断和治疗[J].中国消化内镜,2007,1(6):26-35. 被引量:7
-
5刘于宝,梁长虹,张忠林,林韩斌.CT动态增强和CT血管成像诊断活动期克罗恩病[J].中华消化杂志,2007,27(10):712-713. 被引量:5
-
6张崤巍,章士正,任小军.磁共振成像小肠造影[J].中国医学计算机成像杂志,2008,14(6):578-580. 被引量:4
-
7钟建国,王振,钱铭辉.螺旋CT及重组技术对小肠Crohn病的诊断价值[J].放射学实践,2010,25(3):345-348. 被引量:4
-
8陆星华.克罗恩病的诊治进展[J].现代消化及介入诊疗,2010,15(4):230-235. 被引量:7
-
9王勇.Crohn病的CT小肠成像(CTE)表现[J].中国社区医师(医学专业),2011,13(31):186-187.
-
10孔云朋,王玲,单裕清,徐锐.64排螺旋CT小肠造影在小肠Crohn病中的应用价值[J].中国实用医刊,2012,39(1):66-68.
同被引文献39
-
1汪洋,王继琛,唐光健.结肠CT在炎症性肠病诊断中的作用[J].国际医学放射学杂志,2009,32(3):259-264. 被引量:11
-
2Fang, Song-Hua,Dong, Dan-Jun,Chen, Fang-Hong,Jin, Mei,Zhong, Bai-Shu.Small intestinal lipomas:Diagnostic value of multi-slice CT enterography[J].World Journal of Gastroenterology,2010,16(21):2677-2681. 被引量:7
-
3Fei Miao , Ming-Liang Wang , Yong-Hua Tang.New progress in CT and MRI examination and diagnosis of small intestinal tumors[J].World Journal of Gastrointestinal Oncology,2010,2(5):222-228. 被引量:8
-
4许乙凯,叶靖.克罗恩病的CT和MRI诊断[J].现代消化及介入诊疗,2004,9(4):218-221. 被引量:2
-
5张联合,章士正,胡红杰,高敏,牟一平,张峭巍.口服甘露醇多层螺旋CT小肠造影的临床价值[J].中华放射学杂志,2005,39(4):423-427. 被引量:134
-
6陈海英,戈之铮.小肠Crohn病的影像学和内镜诊断[J].国外医学(消化系疾病分册),2005,25(2):77-80. 被引量:2
-
7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:34
-
8明兵,贺国庆,何瑜,沈兰,赵平武.Crohn病的CT表现[J].中华放射学杂志,2006,40(1):88-91. 被引量:15
-
9周建平,周家鹏.炎性肠病的外科诊治[J].中国现代手术学杂志,2006,10(2):90-91. 被引量:1
-
10杨维良,李福军,张浩民,赵志,张建国,裴建华,张成,汪艳军.克罗恩病102例临床分型及术式选择[J].中国现代手术学杂志,2006,10(2):95-98. 被引量:4
引证文献7
-
1丁怀银,朱西琪,杜超,戴峰,袁军.多层CT在小肠Crohn病中的应用[J].放射学实践,2009,24(11):1258-1261. 被引量:7
-
2朱庆强,朱文荣,史玉振,童明敏,林艳飞,王中秋.MSCT及其后处理技术对克罗恩病的诊断价值[J].临床放射学杂志,2011,30(8):1146-1149. 被引量:2
-
3朱庆强,王中秋,陈文新,朱文荣,吴晶涛,王守安.CT小肠造影对克罗恩病活动期与静止期的诊断价值[J].临床放射学杂志,2012,31(3):381-385. 被引量:15
-
4沈宣文,陈浩,马建明,郑志勇,庄启湘,庞智,尹少朋.多层螺旋CT成像技术在克罗恩病诊断中的应用价值[J].中华消化病与影像杂志(电子版),2013,3(1):20-22. 被引量:3
-
5孙培祥,杨群顶,张艳芹.64排螺旋CT诊断小肠Crohn病16例[J].医药论坛杂志,2014,35(5):29-30. 被引量:1
-
6彭莱,韩云学,顾莉芳.从误判病例看炎症性肠病的CTE诊断价值[J].中国临床医学影像杂志,2018,29(12):872-875. 被引量:2
-
7陈坚,肖吓鹏,陈先达,李翰城.克隆氏病合并肠穿孔5例临床分析[J].现代诊断与治疗,2014,25(17):3996-3997.
二级引证文献27
-
1史天亮,刘勇山.克罗恩病9例多层螺旋CT小肠造影检查分析[J].中国误诊学杂志,2011,11(22):5465-5465. 被引量:1
-
2沈永菊,冷永新,唐翠松,汤光宇.64层螺旋CT检查及后处理技术在Crohn病中的应用[J].同济大学学报(医学版),2012,33(6):79-82. 被引量:1
-
3李文杰,蒋文瑜,张晓斐,刘希胜,施瑞华,张红杰.CT小肠造影在克罗恩病临床诊断中的价值[J].世界华人消化杂志,2013,21(3):220-225. 被引量:10
-
4黄鑫,廖旺娣,朱萱.回结肠克罗恩病与肠结核鉴别诊断研究进展[J].中国实用内科杂志,2013,33(4):318-321. 被引量:10
-
5刘承宏,丁建平,王冬梅,顾基伟,包雪梅,陈皓.小肠Crohn病的多层螺旋CT征象分析及诊断价值[J].浙江中西医结合杂志,2013,23(7):574-576. 被引量:1
-
6袁媛,高旭宁,范一宏,许茂盛.CT小肠造影和消化内镜检查用于克罗恩病诊断的价值比较[J].浙江医学,2013,35(13):1269-1271. 被引量:3
-
7龙顺华,吕农华.克罗恩病与肠结核鉴别诊断研究进展[J].现代消化及介入诊疗,2013,18(4):229-231. 被引量:7
-
8彭莱,韩云学,顾莉芳.从误判病例看炎症性肠病的CTE诊断价值[J].中国临床医学影像杂志,2018,29(12):872-875. 被引量:2
-
9吴兴旺,刘文冬,胡君梅,刘斌.MDCTE在诊断克罗恩病中的价值[J].安徽医科大学学报,2014,49(10):1489-1491. 被引量:5
-
10彭娥英,沈宣文,庄启湘,岳忠勤.CT和MRI小肠造影对克罗恩病活动期和静止期的对照研究[J].中国中西医结合影像学杂志,2014,12(6):586-589. 被引量:5
-
1刘于宝,梁长虹,张忠林,林韩斌.CT动态增强和CT血管成像诊断活动期克罗恩病[J].中华消化杂志,2007,27(10):712-713. 被引量:5
-
2鲁桂青,刘林祥,陈克敏,缪飞.多层螺旋CT在小肠Crohn病中的应用研究[J].中华放射学杂志,2009,43(4):373-377. 被引量:15
-
3鲁宏,许新复,丁仕义,胡卉.小肠Crohn病的血管观察[J].中国医学影像学杂志,1997,5(4):236-237. 被引量:3
-
4任进军,许慧敏.小肠Crohn病X线诊断及鉴别[J].中外医用放射技术,1999(4):93-94.
-
5胡薇,吴国忠.小肠Crohn病大出血[J].南京部队医药,2001,3(2):27-28.
-
6钟建国,王振,钱铭辉.螺旋CT及重组技术对小肠Crohn病的诊断价值[J].放射学实践,2010,25(3):345-348. 被引量:4
-
7王健,贾红.胶囊内镜在小肠Crohn病的应用[J].世界华人消化杂志,2007,15(16):1841-1844. 被引量:4
-
8方元,管宇,夏艺,范丽,刘士远,肖湘生.CT定量评估肺气肿的研究进展[J].中国医学影像技术,2017,33(1):132-136. 被引量:6
-
9鲁桂青,刘林祥,黄波显,陈克敏.小肠Crohn病的CT表现分析[J].医学影像学杂志,2012,22(8):1409-1412. 被引量:2
-
10张正坤,郭进华,苏锐.逆行胰胆管造影对梗阻性黄疸病因的诊断价值[J].现代消化病及内镜杂志,1997,2(4):343-344.