摘要
AIMS To analyze the radiological features of the ul- cerative diseases of the small bowel. METHODS Thirty-five patients (20 men,15 women) with inflammatory ulcerative bowel diseases were stud- ied radiographically (barium meal and/or double con- trast study),including:11 cases of tuberculosis,13 Crohn disease,7 bowel Behcet disease,2 simple ulcer and 2 ischemic bowel disease. Diagnosis was estab- lished pathologically in 33 cases and by clinical obser- vation after therapy in 2 cases. RESULTS The lesions were located in ileum,in 9 of 11 cases of TB;in 10 of 13 cases of Crohn disease;in 5 of 7 cases of bowel Behcet disease;in 1 of 2 cases of simple ulcer and in 2 cases of ischemic bowel disease. Ulceration was always present with variable appearances. Longitudinal ulcers,and fissures were noted in Crohn disease only. There were 5 cases of large and deep ulcer and 3 occurred in bowel Behcet disease,10 of 13 cases of superficial and irregular ul- cers were tuberculous,2 cases of transverse ulcer were also tuberculous. CONCLUSIONS The morphologic appearances of the ulcer,surrounding mucosal alterations and bowel deformation were the basis for the radiologic diagnosis. Correct diagnosis was dependent on optimal X-ray ex- amination technique and proper interpretation of the morphologic changes.
目的分析小肠常见炎症性溃疡性疾患的 X 线表现.方法 35例小肠炎症性溃疡性疾患,男20例,女15例.其中肠结核11例,Corhn 病13例,肠 Behcet 病7例,单纯性溃疡和缺血性肠炎各2例.33例有病理结果,2例经临床治疗证实.结果病变局限于回肠,肠结核11例中有9例,Corhn 病13例中有10例,肠 Behcet 病7例中有5例,单纯性溃疡2例中有l例,2例缺血性肠炎均在回肠.部分病例累及回盲部.35例均有溃疡,形态表现多种多样,但纵行溃疡和裂隙仅见于 Crohn 病.大而深的溃疡5例,3例为肠 Behcet 病.浅而不规则溃疡13例,10例见于肠结核.横行溃疡2例均见于肠结核.结论肠溃疡的形态、周围粘膜的变化和肠管变形等 X 线特征是各种疾患的诊断依据.强调正确的诊断决定于良好的 X 线检查技术和对形态变化的正确解释.
