中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2009年
13期
94-95
,共2页
王文尚%麦远其%陈赞雄%崔国儒%王郁豪
王文尚%麥遠其%陳讚雄%崔國儒%王鬱豪
왕문상%맥원기%진찬웅%최국유%왕욱호
结肠气钡双重造影%溃疡性结肠炎%X线诊断
結腸氣鋇雙重造影%潰瘍性結腸炎%X線診斷
결장기패쌍중조영%궤양성결장염%X선진단
Pneumobarium double contrast examination%Ulcerative colitis%X-ray diagnosis
目的:通过结肠气钡双重造影检查,回顾性分析评价该检查方法对溃疡性结肠炎的临床诊断价值.方法:45例溃疡性结肠炎应用日本岛津800 mA数字胃肠X线诊断机进行了气钡肠道双重造影及肠镜检查术后病理证实.结果:溃疡性结肠炎的X线表现为病变自直肠逆行向上呈连续性发展,早期:结肠边缘见针刺状突出(或棘状突起)及正面的"靶样征";急性期:出现"锯齿征"、"纽扣征"和"鹅卵石征";慢性期:局部肠腔呈铅管样狭窄及假息肉形成.结论:结肠气钡双重造影对溃疡性结肠炎的检出和早期诊断都有着重要意义,是结肠疾病的首选检查方法,根据病史、进展方式和典型X线征像,本病较易诊断,不难与其他炎性结肠病变鉴别.
目的:通過結腸氣鋇雙重造影檢查,迴顧性分析評價該檢查方法對潰瘍性結腸炎的臨床診斷價值.方法:45例潰瘍性結腸炎應用日本島津800 mA數字胃腸X線診斷機進行瞭氣鋇腸道雙重造影及腸鏡檢查術後病理證實.結果:潰瘍性結腸炎的X線錶現為病變自直腸逆行嚮上呈連續性髮展,早期:結腸邊緣見針刺狀突齣(或棘狀突起)及正麵的"靶樣徵";急性期:齣現"鋸齒徵"、"紐釦徵"和"鵝卵石徵";慢性期:跼部腸腔呈鉛管樣狹窄及假息肉形成.結論:結腸氣鋇雙重造影對潰瘍性結腸炎的檢齣和早期診斷都有著重要意義,是結腸疾病的首選檢查方法,根據病史、進展方式和典型X線徵像,本病較易診斷,不難與其他炎性結腸病變鑒彆.
목적:통과결장기패쌍중조영검사,회고성분석평개해검사방법대궤양성결장염적림상진단개치.방법:45례궤양성결장염응용일본도진800 mA수자위장X선진단궤진행료기패장도쌍중조영급장경검사술후병리증실.결과:궤양성결장염적X선표현위병변자직장역행향상정련속성발전,조기:결장변연견침자상돌출(혹극상돌기)급정면적"파양정";급성기:출현"거치정"、"뉴구정"화"아란석정";만성기:국부장강정연관양협착급가식육형성.결론:결장기패쌍중조영대궤양성결장염적검출화조기진단도유착중요의의,시결장질병적수선검사방법,근거병사、진전방식화전형X선정상,본병교역진단,불난여기타염성결장병변감별.
Objective:45 cases of colon through the air-barium double contrast examination, retrospective analyses and e-valuate the method of clinical application. Methods: 45 cases of colon cancer was conducted multi-purpose machines for the air-barium double contrast gastro-intestinal X-ray diagnosis by Shimadzu 800 mA gastrointestinal and colonoscopy after pathology. Results: Ulcerative colitis usually starts in the rectum and may extend proximally (no skip lesions).This early change was spur or target sign which can be observed on the colon conture,Serrated sign betton sign and cobble-stone sign were found in the active stage.In the chronic stage region narrowing of colonic lumen was as like as leaded tube , and pseudpolyps formation were seen. Conclusion: GDBE examination is vital and the first choice to early diagnose colon disease, according to the history , the progressive attem and the findings on GDBE, the diagnosis may often be made on it.It isn't difficult to differentiate it from other inflammatory disease of the colon.