摘要
目的:分析X射线小肠钡剂造影与CT小肠造影在克罗恩病(CD)临床诊断中的应用及其对诊断肠壁增厚及肠外并发症的应用价值。方法:回顾性选取医院收治的79例CD患者资料,所有患者分别采用X射线小肠钡剂造影及腹部CT小肠造影两种不同检查方式,对比两种检查方式对患者裂隙状溃疡、卵石征、多节段性病变、肠壁增厚、强化增加、蜂窝织炎、炎性包块、腹腔囊肿等病变征象的差异。结果:X射线钡剂小肠造影的裂隙状溃疡和卵石征诊断检出率分别为51.90%和50.63%;CT小肠造影诊断检出率均为0.00%;其差异有统计学意义(x2=7.417,x2=7.295;P<0.05);两种检查方式对多节段性病变诊断的检出率比较,差异无统计学意义(x2=1.688,P>0.05);CT小肠造影检查对强化增加、蜂窝织炎、炎性包块和腹腔囊肿诊断的检出率高于X射线钡剂小肠造影;其差异均有统计学意义(x2=10.070,x2=7.173,x2=4.770,x2=6.161;P<0.05)。结论:X射线钡剂造影能较好的检出裂隙状溃疡与卵石征,但对肠壁增厚及肠外并发症无诊断能力。X射线钡剂造影与CT造影在CD临床诊断中各具优势,需结合两种检查方式的优势综合判定,最大程度改善患者治疗与预后。
Objective: To analyze the application of X-ray barium enterography of small intestine and CT enterography of small intestine in clinical diagnosis of Crohn's disease and the application value of them in diagnosing the thickening of intestinal wall and extra-intestinal complications. Methods: 79 patients with Crohn's disease (CD) who were treated in our hospital were retrospectively selected. All of them were respectively examined by X-ray barium enterography on small intestine and abdominal CT enterography on small intestine. The differences of pathological symptoms of fissure ulcer, pebble sign, multi-segmental lesions, intestinal wall thickening, enhancement of intensity, cellulitis, inflammatory masses and celiac cyst between the two methods were compared. Results: Detectable rates of fissure ulcer and pebble sign of X-ray barium enterography (51.90% and 50.63%) were significantly higher than those of CT enterography (0.00% and 0.00%)(x2=7.417, x2=7.295, P<0.05). The differences of multi-segmental lesions between the two methods was no significant (x2=1.688, P>0.05). The detectable rates of enhancement of intensity, cellulitis, inflammatory masses and celiac cyst of CT angiography on small intestine were significantly higher than those of X-ray barium enterography (x2=10.070, x2=7.173, x2=4.770, x2=6.161, P<0.05). Conclusion: X-ray barium angiography can better confirm fissure ulcer and pebble sign, while it is not suit to diagnose intestinal wall thickening and extra-intestinal complications. And X-ray barium enterography and CT enterography have their own advantages in the clinical diagnosis of Crohn's disease. In the actual clinical diagnosis, the advantages of two examinations should be combined to implement judgment so as to improve the treatment outcome and prognosis of the patients in the greatest extent..
作者
王娜琴
邓婕
林智胜
WANG Na-qin;DENG Jie;LIN Zhi-sheng(Department of Radiology, Mingji Hospital Affiliated to Nanjing Medical University, Nanjing 210000, China)
出处
《中国医学装备》
2019年第7期88-91,共4页
China Medical Equipment
关键词
X射线钡剂造影
CT造影
克罗恩病
肠壁增厚
X-ray barium enterography
CT enterography
Crohn's disease
Intestinal wall thickening
