多排螺旋CT小肠成像在Crohn病中的诊断价值.pdfVIP

中国CT和MRI杂志　2015年7月 第13卷 第７期 总第69期 The Diagnostic Value of Multi-slice Spiral CT Small Bowel Imaging in Crohns Disease PENG Ming-yang, ZHANG Wei-dong, MA Yue-hu,et al., Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Jiangsu, 210006 论 著 [Abstract] Objective To evaluate the diagnostic value of CT imaging of the small intestine (CTE) for Crohns disease. Methods 25 patients with pathologically confirmed and CTE examination were analyzed retrospectively. Two doctors without knowing pathological situations were blinded to analyze the performance of its CTE. Results Of two doctors diagnose Crohns disease by CTE accuracy were 90.60% and 87.40%, CTE can clearly 多排螺旋CT小肠成 show lesions and bowel changes, in 25 patients, 12 cases involving only the small intestine (48%), which simple terminal ileum or ileocecal involvement in 5 cases, small intestine 像在Crohn病中的 and colon simultaneously involved in 10 cases (40%), only 3 cases involving the colon 诊断价值 (12%). All 25 cases of Crohns disease CTE showed thickening of the bowel, intestinal stenosis, intestinal enhanced scan showed a layer-like or overall enhancement, bowel axial like to see a target sign, increased mesenteric vessels. 18 cases (72%) see comb- like symptoms. 15 cases (60%) see the mesenteric lymph node enlargement, clear edge. 2 南京医科大学附属南京医院(南京 cases (8%) seen in the fistula formation, one case (4%) incomplete small bowel obstruction. 市第一医院)放射影像科 Conclusion C