Niki T, Yamago Y
Department of Radiology, School of Medicine, Tokushima University.
Nihon Igaku Hoshasen Gakkai Zasshi. 1990 Jun 25;50(6):611-9.
Tiny abnormal mucosal findings on double contrast barium enema studies in 104 cases were classified into 5 patterns, as follows 1) small elevation, 2) elevation with barium fleck, 3) spotty barium fleck, 4) ill defined barium fleck and 5) barium fleck with halo. Each mucosal pattern was correlated with age, sex and symptoms, as well as the coexistence of the fine network pattern. They were compared with those of 86 control cases. 44 histologically proven cases were reviewed in order to clarify the clinical significance of the above 5 patterns. Incidence of the tiny mucosal findings was 4.8% (104/2186). 1) small elevation, 2) spotty barium fleck, 3) ill defined barium fleck and 4) barium fleck with halo were suggested the possibility of inflammatory bowel diseases.
在104例双重对比钡灌肠检查中发现的微小异常黏膜表现被分为5种类型,如下:1)小隆起;2)有钡斑的隆起;3)斑点状钡斑;4)边界不清的钡斑;5)有晕圈的钡斑。每种黏膜类型都与年龄、性别、症状以及细网状模式的共存情况相关。将它们与86例对照病例的情况进行了比较。对44例经组织学证实的病例进行了回顾,以阐明上述5种类型的临床意义。微小黏膜表现的发生率为4.8%(104/2186)。1)小隆起、2)斑点状钡斑、3)边界不清的钡斑和4)有晕圈的钡斑提示有炎症性肠病的可能。