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目的分析小肠常见炎症性溃疡性疾患的X线表现。材料与方法18例小肠炎症性溃疡性疾患,男11例,女7例。其中肠结核6例,Crohn病6例,肠Behcet病4例,单纯性溃疡和缺血性肠炎各1例。16例有病理结果,2例经临床治疗证实。结果病变局限于回肠,肠结核6例其中有5例,Crohn病6例其中有4例,肠Behcet4例其中有3例,单纯性溃疡1例,1例缺血性肠炎均在回肠。部分病例及回盲部。18例均有溃疡,形态表现多种多样,但纵行溃疡和裂隙仅见于Crohn病。大而深的溃疡5例,3例为肠Behcet病,浅而不规则溃疡7例,5例见于肠结核。横行溃疡2例均见于肠结核。结论肠溃疡的形态、周围粘膜的变化和肠管变形等X线特征是各种疾患的诊断依据。强调正确的诊断决定于良好的X线检查技术和对形态变化的正确解释。
Objective To analyze the X-ray findings of common inflammatory ulcer diseases of the small intestine. Materials and Methods 18 cases of small intestinal inflammatory ulceration disease, 11 males and 7 females. Including 6 cases of intestinal tuberculosis, Crohn disease in 6 cases, 4 cases of intestinal Behcet disease, simple ulcer and ischemic enteritis in 1 case. 16 cases of pathological results, 2 cases confirmed by clinical treatment. Results The lesions were confined to the ileum and bowel tuberculosis in 5 of 6, of which 6 were Crohn’s disease, 4 of them were intestinal Behcet, 3 were simple bowel disease, 1 was simple ulcer and 1 was ischemic enteritis. Some cases and ileocecal Department. All 18 cases had ulceration and varied morphological features, but longitudinal ulcers and fissures were found only in Crohn’s disease. Large and deep ulcers in 5 cases, 3 cases of intestinal Behcet disease, superficial irregular ulcers in 7 cases, 5 cases of intestinal tuberculosis. 2 cases of rampant ulcers are found in intestinal tuberculosis. Conclusion The morphological changes of intestinal ulcer, the surrounding mucosal changes and bowel deformation and other X-ray features are the basis for the diagnosis of various diseases. Emphasis on the correct diagnosis depends on good X-ray examination techniques and the correct interpretation of morphological changes.