Department of Radiology, VMMC and Safdarjung Hospital, 110 A, Arjun Nagar, Safdarjung Enclave, New Delhi, 110029, India.
Jpn J Radiol. 2013 Jul;31(7):471-9. doi: 10.1007/s11604-013-0220-x. Epub 2013 Jun 4.
To prospectively evaluate the role of multidetector computed tomography (CT) enteroclysis in evaluation and diagnostic characterization of suspected small bowel tuberculosis.
The study group included 21 human subjects suspected of having small bowel tuberculosis. A nasoenteric tube was positioned into the duodenojejunal junction under fluoroscopic guidance and water was infused by hand injection. After intravenous administration of 120 mL of iodinated contrast material, multidetector CT enteroclysis images were obtained with 40 × 0.625 mm collimation and findings were analyzed by three readers working in consensus. Findings were compared with the results of endoscopy, histopathological analysis, and clinical follow up.
Multidetector CT enteroclysis was well tolerated in 20 patients; one of the patients complained of vomiting during intubation. Using multidetector CT enteroclysis diagnosis of abdominal tuberculosis was made in sixteen patients, out of which small bowel involvement was seen in 13 patients. Multidetector CT enteroclysis demonstrated Crohn's disease in one patients and normal in four patients. The sensitivity and specificity in diagnosing abdominal tuberculosis by CT enteroclysis came out to be 93.75 and 100 % respectively.
Multidetector CT enteroclysis is well tolerable and accurate modality for evaluation and diagnostic characterization of small bowel tuberculosis.
前瞻性评估多排螺旋 CT 肠造影术在疑似小肠结核病评估和诊断特征中的作用。
研究组包括 21 例疑似小肠结核病的患者。在透视引导下将鼻肠管置于十二指肠空肠交界处，用手推注水。静脉注射 120ml 碘造影剂后，采用 40×0.625mm 准直器进行多排螺旋 CT 肠造影，由 3 位读者共同分析结果。将结果与内镜、组织病理学分析和临床随访结果进行比较。
20 例患者均能耐受多排螺旋 CT 肠造影术，1 例患者在插管过程中出现呕吐。16 例患者经多排螺旋 CT 肠造影术诊断为腹部结核，其中 13 例患者存在小肠受累。多排螺旋 CT 肠造影术显示 1 例患者患有克罗恩病，4 例患者正常。CT 肠造影术诊断腹部结核的敏感性和特异性分别为 93.75%和 100%。
多排螺旋 CT 肠造影术是一种耐受性好、准确的评估和诊断小肠结核病的方法。
