口服法气钡双重造影对小肠病变的诊断价值

The diagnostic value of air-barium double contrast examination by oral medication in small intestinal disease

目的 :探讨口服法气钡双重造影对小肠病变的诊断价值及几种小肠病变的影像特征。方法 :回顾性分析 2 6例小肠病变患者的临床表现与造影影像特征及手术病理结果的相互关系。全部病人均行口服法小肠气钡双重造影检查 ,2例行CT检查 ,病例均经治疗确诊或病理证实。结果 :2 6例中 ,临床有 18例消化道出血 ,5例间断性脐周疼痛 ,2例不全性肠梗阻 ,1例外伤后呕吐来诊。其中腺癌 5例 ,类癌 2例 ,平滑肌肉瘤 3例 ,间质瘤 1例 ,腺瘤或息肉 4例 ,淋巴管扩张症、肠结核、克隆氏病各 2例 ,血管瘤、神经节细胞瘤、小肠结石、外伤后肠狭窄、重复小肠各 1例 ,其影像表现各具特征。结论 :小肠气钡双重造影检查对小肠腔内及管壁受累病变有重要价值 ;

Objective:To investigate the value of air barium double contrast examination by oral medication in small intestinal disease and the imaging features of several small intestinal disease.Methods:The correlation between clinical manifestation,medical imaging features and pathological results were analysed retrospectively.All the patients accepted air barium double contrast examination by oral medication,2 cases were studied with CT,and all the cases were proved by therapy or operation.Results:In 26 cases,digestive hemorrhage were 18 cases,intermittent periumbilicus pain were 5 cases,incomplete intestinal obstruction were 2 cases and vomiting after trauma was 1 case.Among this cases,adenocarcinoma were 5 cases, carcinoid were 2 cases,leiomyosarcoma were 3 cases,interstitial tumor were 1 case,adenoma or polyp were 4 cases, lymphectasia were 2 cases,intestinal tuberculosis were 2 cases,Crohn's disease were 2 cases,and angioma,ganglioneuroma,intestinal stone,intestinal stenosis after trauma and reduplication of intestine is 1 case respectively.Every kind of disease has it's characteristic imaging feature.Conclusion:Barium double contrast examination of small intestine is very helpful for the disease in small intestinal lumen and those intestinal wall invaded.The diagnosis can be made by combing ultrasonography and CT for the lesions that come from intestinal wall but grow outward.