CT小肠重组在蛋白丢失性肠病原发病因诊断中的价值

发布时间：2018-04-01 21:12

本文选题：蛋白丢失性肠病　切入点：原发病　出处：《临床放射学杂志》2017年03期

【摘要】：目的探讨CT小肠重组在蛋白丢失性肠病(PLE)原发病因诊断中的价值。方法回顾性分析38例确诊PLE后行CT小肠重组患者的临床资料和CT图像。重点观察胃、肠管、肠系膜血管的CT异常改变,并结合原发基础病对照分析。结果38例中,7例(18.4%)患者因发现肠瘘、肠系膜动脉-门静脉瘘、结肠肠壁多发肿块等可明确诊断原发病;27例(71%)患者累及肠管,主要表现为空肠及部分回肠肠壁全层增厚,增强后均呈轻-中度强化,粘膜面无强化,结合临床病史可诊断;4例(10.5%)患者在CT小肠重组上没有可靠的阳性征象。结论CT小肠重组在明确PLE胃肠壁、系膜血管及肠内瘘等肠内外结构改变方面具有显著优势,在PLE原发病因诊断中可发挥重要作用。
[Abstract]:Objective to investigate the value of CT small intestinal recombination in the diagnosis of the primary cause of protein-lost bowel disease (PLE). Methods the clinical data and CT images of 38 patients with PLE were analyzed retrospectively. Ct findings of mesenteric vessels were analyzed in combination with primary underlying diseases. Results among 38 patients, 7 had intestinal fistula, 7 had mesenteric artery-portal vein fistula, and 7 had mesenteric arterial-portal vein fistula due to the discovery of intestinal fistula, mesenteric arterial-portal vein fistula. Multiple lumps in the colon wall can be used to diagnose 27 cases of primary diseases (including 71C). The main manifestations of the involvement include the thickening of the whole layer of the jejunum and part of the ileum wall, the enhancement of which is mild to moderate, and the absence of enhancement on the mucosal surface. Combined with clinical history, there were no reliable positive signs on CT small intestinal reconstruction in 4 patients with PLE. Conclusion CT small intestinal recombination has significant advantages in identifying PLE gastrointestinal wall, mesenteric vessels and intestinal fistula, etc. It can play an important role in the diagnosis of PLE.
【作者单位】：深圳市宝安区人民医院;中国医学科学院北京协和医院放射科;深圳市孙逸仙心血管病医院放射科;
【分类号】：R574;R816.5

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