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结肠嗜酸性肉芽肿影像学诊断──附7例B超、双重造影及CT回顾性分析

Imaging diagnosis of colon eosinoplilic granuloma──Retrospective analysis of 7 cases by B-mode ultrasound, double-Contrast radiography and CT scan

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【作者】 刘亦鸣; 邱水波; 董汉彬; 李明亮; 王成林;

【Author】 LIU Yi-ming; QIU Shui-bo; DONC Han-bin; LI Ming-Jiang; WANG Cheng-lin(Department of Aedical Image, Futian People’s Hospital, Shenzhen 518002, Guangdong, China)

【机构】 深圳市福田区人民医院医学影像科!广东; 深圳; 518002; 深圳市红十字会医院影像科!广东深圳; 深圳市罗湖医院影像科!广东深圳; 大连市解放军高等医学专科学校附属医院影像科!辽宁大连;

【摘要】 目的:提高对结肠嗜酸性细胞肉芽肿影像学表现的认识。材料和方法:选择经手术和病理证实7例并有B超、双重造影和CT扫描检查资料完整的病例,回顾分析B超、双重造影和CT等表现。结果:B超检查的7例中,3例表现为均匀性回声增强实质性肿块,2例为不规则形混合回声块影;结肠双重造影有4例显示腔内充盈缺损并管腔狭窄,2例粘膜破坏,2例显示多病灶跳跃性病变;CT扫描中5例显示出病变,2例增强扫描后,见轻度强化。上述各项检查无1例诊断本病。结论:本病的影像学检查手段应以双重造影为主,B超和CT扫描为辅,如密切结合临床和实验室检查完全有可能提高其诊断率,但最后确诊仍需经结肠镜活俭或手术后病理证实。

【Abstract】 Objective: To analyse the imaging features of colon eosinphilic granuloma .Materials and Methods: 7 cases being of impactexamination results with B - mode ultrasound, double contrast radiography and CT scan were comfirmed at surgery and patho - histology .Toanalyse retrospectively the features by B - mode ultrasound, double - contrast method for the roentgen examination and CT scan .Results:B - ultrasound shows in 3 of 7 cases homogeneous hyper - echoic solid mass, 2 of which inhomogeneous mixture - echoic mass. Throughcolon double - contrast radiography, of 7 cases, 4 show filling defect and stenosis, 2 show destructive of mucoid memdrane, 2 show leap lesions. only 5 cases can be found being of lesions by CT scan, 2 of 5 cases being of enhancement lighty area after enhance contrast scan .Allthe above examinations can’t be as the diagnostic methods of this disease. Conclusion: Double - contrast radiography was the main examination method for this disease, B - mode ultrasound and CT scan are the second methods .To be combined with clinical manifestation and laboratory investigaion will markedly improve diagnostic accuracy .To establish a definitive diagnosis, it rests mainly upon colon - endoscopebiopsy and pathologic - histologic examination.

  • 【文献出处】 中国临床医学影像杂志 ,Journal of China Medical Imaging , 编辑部邮箱 ,1999年04期
  • 【分类号】R735.3
  • 【被引频次】6
  • 【下载频次】55
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