回肠末端良性溃疡的X线表现及其诊断价值

The Radiological Features and Diagnostic Value of the Ulcer in the Terminal Ileum

目的 :探讨结肠和小肠双对比造影X线检查对回肠末端溃疡的影像表现及其诊断价值。材料和方法 :2 2例经结肠镜证实的回肠末端溃疡患者 ,其中 18例结肠造影 ,16例小肠造影。将造影对病变的显示分为显示满意、显示较差和未显示三组。结果 :结肠和小肠造影对病变的显示率分别为 94 4%和 93 8%。病变显示满意率分别为 6 7%和 5 0 %。多发溃疡占 5 4 5 %。 5 4 5 %的溃疡小于 1cm。 40 9%为纵行溃疡 ,31 8%为类圆形溃疡。 36 4%的溃疡伴有肠管狭窄 ,2 2 7%伴有假憩室形成。结论 :当临床怀疑回肠末端病变时 。

Purpose: To evaluate the radiological features and diagnostic value of the ulcer in the terminal ileum by colon double contrast radiography (CDCR) and small intestine double contrast radiography (SIDCR). Materials and Methods: Among 22 patients with ulcer in the terminal ileum proved by colonoscopy, 18 cases received CDCR and 16 cases SIDCR. The demonstration of the ulcer were classified into 3 groups: good, poor and no demonstration. Results: The demonstration rates of the ulcer were 94.4% in CDCR and 93.l8% in SIDCR. The rates of good demonstration were 67% in CDCR and 50% in SIDCR respectively. The multiple ulcers accounted for 54.5%. The ulcers smaller than 1cm accounted for 54.5%. The longitudinal ulcer and the round like ulcer were 40.9% and 31.8% respectively. The ulcers with bowel stenosis were found in 36.4% and with pseudodiverticulum were in 22.7%. Conclusion: The CDCR should be selected to the patients with clinically suspected ulcer in the terminal ileum.