嗜酸性粒细胞胃肠炎的CT与MRI诊断价值

发布时间：2018-03-25 13:00

本文选题：嗜酸性细胞胃肠炎　切入点：体层摄影术　出处：《临床放射学杂志》2015年03期

【摘要】：目的探讨嗜酸性粒细胞胃肠炎(EG)的CT与MRI表现及其临床诊断价值。方法回顾性分析16例经临床证实的EG患者的CT、MRI的影像资料。结果黏膜型6例,混合型8例,浆膜型2例,无单纯肌层型EG患者。食管壁肿胀增厚者5例;胃窦壁肿胀增厚者9例,胃黏膜增粗6例;十二指肠黏膜增粗者9例;空肠黏膜增粗者12例,4例合并肠壁增厚;回肠黏膜增粗者8例,4例合并肠壁增厚;结、直肠增厚者2例;肠系膜渗出8例;肠系膜淋巴结肿大者6例;腹腔积液7例。结论 EG的影像表现主要为食管、胃窦部肿胀增厚、胃与小肠黏膜弥漫性增粗、肠壁分层状增厚,具有一定的特征性,可为临床明确诊断提供依据。
[Abstract]:Objective to investigate the CT and MRI findings of eosinophil gastroenteritis (EGG) and their clinical diagnostic value. Methods the imaging data of 16 patients with EG were retrospectively analyzed. Results there were 6 cases of mucosal type, 8 cases of mixed type and 2 cases of serous type. In EG patients without myometrium type, 5 cases had thickening of esophageal wall, 9 cases of gastric antral wall thickening, 6 cases of gastric mucosal thickening, 9 cases of duodenal mucosal thickening, 12 cases of jejunal mucosal thickening and 4 cases of intestinal wall thickening. Ileal mucosal thickening occurred in 8 cases with thickening of intestinal wall in 4 cases, thickening of colon and rectum in 2 cases, mesenteric exudation in 8 cases, mesenteric lymph node enlargement in 6 cases, and peritoneal effusion in 7 cases. The swelling and thickening of antrum, the diffuse thickening of gastric and small intestinal mucosa and the thickening of intestinal wall are characteristic, which can provide basis for clinical diagnosis.
【作者单位】：福建医科大学附属第一医院影像科;
【分类号】：R57;R816.5;R445.2

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