摘要
为探讨应用多层螺旋CT鉴别诊断克罗恩病(CD)与肠结核的价值,回顾2019年2月至2020年3月我院收治的50例肠结核和52例CD患者的多层螺旋CT检查资料,就两种疾病CT表现进行对比分析。结果显示,CD与肠结核患者在病变累及部位、肠壁增厚方式、肠壁增强方式、肠系膜淋巴结增强方式、肠系膜改变,以及多阶段跳跃性病灶、"梳妆征"、肠腔脓肿或瘘管形成、腹腔积液发生率方面比较差异均有统计学意义,P <0.05。肠结核回盲部发生率最高,明显高于CD患者,P<0.05。CD患者更易出现多阶段跳跃性病灶、肠壁非对称性增厚、肠壁分层或不均匀强化、肠系膜纤维脂肪增生、"梳妆征"、肠腔脓肿或形成瘘管、腹腔积液;肠结核患者更易出现病变仅累及回肠、肠壁对称性增厚、肠系膜淋巴结环形强化。CD患者肠壁厚度、肠周淋巴结短径长度明显大于肠结核患者,而肠壁强化程度、腹水强化程度明显低于肠结核患者,P <0.05。结果表明,CD、肠结核患者多层螺旋CT表现具有一定差异,应用多层螺旋CT对两种疾病进行鉴别诊断具有临床应用价值。
This study was to investigate the value of multi-slice spiral CT(mss CT)for differentially diagnosing Crohn’s disease(CD)from tuberculosis of intestine(TI),reviewed the data of 102 cases who were treated in author’s hospital and received mss CT inspection from 2019-02 to 2020-03,including 50 cases of TI,and 52 cases of CD,then compared and analysed both groups’ diseases’ CT findings.As results,between the two diseases,in involved lesion site,in thickening pattern and strengthening pattern of intestinal wall,in strengthening pattern of mesenteric lymph nodes,in mesentery change,as well as the incidence of multistage saltatory lesion ", Dressing sign",intestinal cavity abscess or fistulization,and pyoperitonenm there all were statistical difference(P <0.05);the incidence of TI at ileocecal site had most rate than that of CD(P <0.05);but,CD patients,more easily suffered from multi-stage saltatory lession,non-symmetrical thickening of intestinal wall,stratified or non-homogeneous strengthening of intestinal wall,mesenteric fibroadipose hyperplasia ", Dressing sign",intestinal cavity abscess or fistulization,and pyoperitoneum;TI patients more easily suffered from the lesion only involved ileum,symmertrical thickening,mesentetric lymph nodes shown cycle-like strengthening;in intestinal wall’s thickness,and in short-diameter of periintestinal lymph nodes CD patients were significantly bigger than TI patients,but their strengthening intensity of intestinal wall,and strengthening degree of hydroperitineum were significantly lower than TI patients(P <0.05).Results show that in mss CT shows between CD patients and TI patients there was certain difference,therefore mss CT for differential diagnosis of the two diseases has clinical application value.
作者
丁天
DING Tian(CT Room,Tanghe County’s People’s Hospital,Tanghe,Henan 473400)
出处
《中国肛肠病杂志》
2021年第8期27-29,共3页
Chinese Journal of Coloproctology
关键词
多层螺旋CT
克罗恩病
肠结核
鉴别诊断
Multi-slice spiral CT
Crohn’s disease
Tuberculosis of intestine
Differential diagnosis
