64排CT小肠造影(CTE)在肠道炎性病变的诊断价值及临床意义

Diagnostic value and clinical significance of 64-slice CT small bowel angiography(CTE) in intestinal inflammatory bowel diseases

目的:研究探讨64排CT小肠造影在肠道炎性病变的诊断价值及临床意义。方法:选取我院收治的经手术病理或者是肠镜确诊的肠道炎性病变病患48例,对病患的临床资料进行回顾性分析,探讨64排CT小肠造影用于诊断肠道炎病变的临床价值以及意义。结果:在48例病患中有30例病患为克罗恩病,18例病患为溃疡性结肠炎;其中克罗恩病易发部位末端回肠和右半结肠,溃疡性结肠炎易发部位为结直肠;克罗恩病主要表现为肠管节段性受累,肛周/腹腔瘘管、脓肿的发生比例相较于溃疡性结肠炎病患较高(P <0.05);结肠袋消失、肠管僵直多提示为溃疡性结肠炎病患(P <0.05)。结论:在肠道炎性病变的诊断中采用64排CT小肠造影能将肠外表现和肠管病变的情况进行清晰的显示,其在肠道炎性病变的诊断中具有重要的临床价值及意义。

Objective To investigate the diagnostic value and clinical significance of 64-slice CT small intestine angiography in intestinal inflammatory bowel diseases. Methods The clinical data of the patients were retrospectively analyzed. 64-slice CT small intestine angiography was used to diagnose intestinal inflammation. Clinical value and significance. Results Among the 48 patients, 30 patients were Crohn’s disease, and 18 patients were ulcerative colitis. Among them, Crohn’s disease-prone site was small intestine, and ulcerative colitis-prone site was colon;Crohn’s disease mainly manifested as segmental involvement of the intestine, and the incidence of perianal/abdominal fistula and abscess was higher than that of patients with ulcerative colitis(P < 0.05);the disappearance of the colonic bag and the stiffness of the intestine were more likely to be ulcers. Patients with colitis(P < 0.05);Conclusion 64-slice CT small intestine angiography can clearly show the appearance of intestinal and intestinal lesions in the diagnosis of intestinal inflammatory bowel diseases.