The Performance Of Multi-slice Spiral CT Study Of Inflammatory Bowel Disease By Oral Small Bowel

Obiective Discusses the intestinal inflammatory lesions MSCT performance characteristics,To improve the accuracy of the diagnosis, Explore the differential diagnosis of inflammatory bowel disease common among.Study Subjects and Methods Collect Shanxi medical university Nol hospital in October2010-Jenury2014clinical diagnosis40cases.(Crohn’s disease9cases, Ulcerative colitis14cases,Intestinal tuberculosis12cases, lupus enteritis5cases).In40patients were23male,female patients with17.Age15-84years old, the median age38years old.All patients have MSCTE scanning and the digestive tract enema. Use light Speet VCT64layer spiral CT scanner,thick layer of5mm,pitch0.984Analysis the image performance,including the position,intestinal wall thickness,outside the intestinal wall seepage,abdominal cavity lymph node,etc.The SPSS13.0statistical software package for the above data analysis of variance and Fisher exact probability method.,P<0.05with a statistical significance.Results MSCT scanning could clerely show the thickening lesions intestinall walls and the intestinal outside changings.The left half colon easy happen Ulcerative colitis.Lleocecal and small intestine easy happen Crohn’s disease,.The predilection site of the intestinal tuberculosis is lleocecal and have a wide range of cumulative. Crohn’s disease, intestinal tuberculosis, lupus enteritis show parenteral significant leakage and lymph nodes. The age distribution of each disease group, the incidence of parts distribution, the lesion wall thickness, parenteral or without exudate, lymph node short axis and other indicators are statistically significant (P <0.05). Ulcerative colitis and Crohn’s disease, intestinal tuberculosis in the predilection site, wall thickness lesions, intestinal bleed indicators statistically significant difference. Crohn’s disease and intestinal tuberculosis in a predilection site, the lesion wall thickness, parenteral or without exudate, lymph node short axis aspect index difference was not statistically significant.Conclusion MSCT enterography can clearly show each segment of intestinal expansion, position, location, intestinall walls, the intestinal outside changings and lleocecal. Inflammatory bowel disease by MSCTE has a certain characteristic performance. Especially for small bowel disease and intestinal lesions display superiority. The diagnosis and differential diagnosis and determine disease activity can provide imaging evidence.