小肠双重对比造影对小肠病变的诊断王爱英ppt课件.pptVIP

小肠双重对比造影对小肠病变的诊断;第一部分：小肠双重对比造影方法及常见病的X线表现;小肠双重对比造影的适应证1;小肠双重对比造影的适应证2;小肠双重对比造影的禁忌证;造影前准备;器械及药品;小肠双重造影检查方法;摄　片;小肠造影的正常表现;小肠常见疾病的造影表现;小肠腺癌;Ileal adenocarcinoma;小肠平滑肌肿瘤;Leiomyosarcoma of the jejunum in a 71-year-old man:Coronal HASTE MR image shows a hyperintense soft tissue mass (straight arrows). In contrast to CT image (A), lobulated configuration is well demonstrated on this image. Intestinal loop (curved arrow) is entrapped within the mass lesion. ;分　型;小肠间质瘤;X线表现;;小肠淋巴瘤;Small bowel non-Hodgkins lymphoma. (a) Enteroclysis examination demonstrates a segment of ileum in the right iliac fossa with wall thickening, destruction of the normal fold pattern and aneurysmal ulceration (arrowed) and mass effect; (b) CT demonstrates marked wall thickening and aneurismal luminal dilatation, containing contrast;小肠腺瘤;Crohn病;Typical features of Crohns disease of the distal ileum including fissure ulcers (small arrows), longitudinal ulcers (arrowhead), cobblestoning (open arrows), aphthoid ulcers (curved arrow) and stricturing. ic=ileocaecal valve;Crohn s disease of distal ileum with stricturing and sacculation on the antimesenteric aspect (curved arrows), and fissure ulcers (small arrows). Open arrow points to ileo-caecal valve;小肠结核;Chronic ileocaecal tuberculosis. The caecum and ascending colon are retracted craniad and are fibrotic. scarred and saccilated (curved arrows). The terminal ileum in this patient is relatively patulous (straight arrows) and probably nodular. v=ileocaecal valve.;肠型Behcet病;Graft-versus-host disease in a bone marrow transplant recipient. There are several loops of ileum which demonstrate a featureless appearance - ribbon bowel;Meckel憩室; Meckels diverticulum (arrowed) demonstrated on enteroclysis in a young patient with recurrent melaena;结　论;第二部分：联合应用小肠造影与空肠黏膜活检对小肠弥漫性病变的诊断价值;检查方法;病理观察;小肠吸收不良;嗜酸粒细胞性胃肠炎;结　论;谢 谢！