消化系统影像学诊断教学教程.ppt

;消化系统 影像学诊断 北大医院 CT 室 王仁贵 renguiwang@; ; ; 讲课内容 ? 消化道怎样看：方法 ? 消化道怎样的：解剖 ? 消化道怎样了：疾病;一 Imaging Methods ? Plain or Conventional X-ray ? Gastrointestinal BE ? Angiography ? CT scan MR imaging Ultrasonography ? Scintigraphy ;（一） Plain or Conventional X-ray Fluoroscopy Radiography ;Positions of Abdominal Plain X-ray Supine position Stand Position Side-lying Position Handstand Position ;;;Gastrointestinal BE by Organs ? Esophagus BE ? Upper GI BE ? Small intetine BE ? All Alimentary BE ? Colon BE;Esophagus BE;Upper GI BE;Small Intestine BE; All Alimentary or Digestive Tract BE; Colon BE;Gastrointestinal BE by Contrast Medium Traditional Barium Examination Mucosal imaging Filling imaging Compressing imaging ? Double-contrast BE ; Filling Mucosal Compressing ; Filling Compressing ; Filling Compressing ; Double BE Gastroscopy; Double BE of Stomach ; ;二、Normal Anatomy and X-ray Esophagus Stomach Duodenum Jejunum and Ileum Colon; Esophagus 2 口 3 压迹 4 狭窄 4 粘膜线 宽 2-3 cm 长 25 cm;粘膜像 粘膜皱襞 粘膜间沟;Stomach 2 弯 2 门 3 区 4 型 粘膜皱襞 胃小区 ;胃粘膜皱襞;;;Duodenum 组成：球部、降部、升部 球部：锥形、对称、幽门管口 粘膜：纵行、羽毛、横行 ; 十二指肠 ;;Double-BE Filling imaging; Jejunum Ileum 分组：左上、左下、中腹、右下、盆腔 径长： 2.5 x 250 cm 2.0 x 350 cm 粘膜：环状羽毛 少浅光滑 蠕动： 活跃 缓慢 ; 肠管 ; 空肠 回肠 ; 回肠 ; 空肠 回肠 ; Colon Groups：(Cecum, Ascending, Transverse, Desending, sigmoid, Rectum) Width and Length： 5 x 160 cm Mucosa：Vertical-Transverse-Oblique Mucosal Folds：Lune、Colonic Bag; 结肠 ;结肠 Colon;（三）Basic Pathologic Changes ? Local – Niche, Filling Defect ? Cavity – Constriction, Di