16层螺旋CT诊断肠克罗恩病临床分析(附9例报告)

Diagnosis of intestinal Crohn's disease by 16 CT(report of 9 cases)

目的探讨肠克罗恩病的CT诊断特征。方法回顾性分析9例经病理或临床证实的肠克罗恩病CT表现。结果 9例肠克罗恩病均表现为节段性分布肠壁肿胀、增厚,肠腔狭窄,增强后肠壁快速强化,周围肠系膜血管扩张。结论肠克罗恩病具有一定的CT特征,16层螺旋CT扫描能更好的观察肠壁及肠壁外病变,确诊需依赖病理。

Objective To investigate the CT features of intestinal Crohn＇s disease. Methods The CT manifestations of nine cases with intestinal Crohn＇s confirmed by pathology or clinical disease were analyzed retrospectively. Results All of the 9 cases of intestinal Crohn＇s disease showed segmental distribution of the intestinal wall swelling, thickening, luminal stenosis, enhanced intestinal wall quickly strengthened, and the surrounding mesenteric vascular expansion. Conclusion Intestinal Crohn＇s disease has certain features of CT, and multi-slice spiral CT scan can better observe the intestinal wall and intestinal wall outside lesions, but, its definite diagnosis relies on pathology.