【摘要】 目的探讨克罗恩病(Crohn’s disease,CD)的小肠造影表现及诊断要点。方法结合临床症状、体征、内镜和病理,回顾性分析73例CD住院患者的小肠造影表现。结果 73例患者中,男41例,女32例,年龄15~78岁,中位年龄31岁。临床主要表现为腹痛65例、腹胀30例、腹泻35例、消化道出血18例、发热17例、体质量减轻42例;10例伴口腔溃疡或有口腔溃疡病史,20例有肛周病变或肛瘘形成病史。小肠造影显示,52例(71.23%)病变呈节段性分布;49例(67.12%)病变位于肠壁一侧呈偏心性分布;54例(73.97%)有肠管狭窄;47例(64.38%)表现为纵行溃疡和/或多发溃疡纵行排列;11例(15.07%)有"卵石征";7例(9.59%)有瘘管显示。结论小肠造影显示,肠管病变呈"节段性、偏心性和纵行性"分布,是CD的诊断要点。"卵石征"和瘘管或窦道的显示,则更加支持CD的诊断。更多还原

【Abstract】 Objective To investigate the small intestine imaging manifestations and diagnostic key points of Crohn’s disease( CD). Methods The main manifestations of small intestine imaging for 73 patients with CD were analyzed retrospectively,combined with their clinical symptoms,physical signs,endoscopic findings and histopathologic results.Results In 73 cases of CD patients,there were 41 cases of male and 32 cases of female. Age was from 15 to 78 years old,the median age was 31 years old. Clinical manifestations appeared 65 cases of abdominal pain,30 cases of abdominal distention,35 cases of diarrhea,18 cases of gastrointestinal bleeding,17 cases of fever,42 cases of weight loss;there were 10 cases of oral ulcer or history of oral ulcers and 20 cases of crissum lesions or anal fistula formation. Small in testines imaging showed 52 cases( 71. 23%) of lesions in segmental distribution; 49 cases( 67. 12%) of lesions located in the intestinal wall on one side,54 cases( 73. 97%) had intestinal canal stenosis,47 cases( 64. 38%) showed longitudinal ulcer and/or multiple ulcers longitudinal arrangement,11 cases( 15. 07%) had "cobblestone",7 cases( 9.59%) had fistula. Conclusion Diagnostic key points of CD is lesions distribution of"segmental,asymmetric and longitudinal"in small intestine imaging,"Cobblestone"and fistula or antrum show much more support for the diagnosis of CD.更多还原