Mahieu P H
Int J Colorectal Dis. 1986 Apr;1(2):85-90. doi: 10.1007/BF01648412.
Forty-three patients with histologically proven solitary ulcer syndrome of the rectum were examined by defaecography and 33 by barium enema. Barium enema showed changes in the rectum in all cases. Thickening of the rectal folds and spasm were most common, followed by ulceration and pseudopolypoid change. None of these changes is individually pathognomonic of the solitary ulcer syndrome, but viewed in conjunction they are highly suggestive of the condition. During defaecography, intussusception of the rectum was observed in 34 cases (79%). In 19 (44%) a complete external prolapse was present while intra-anal and intra-rectal intussusception was found in 15 (35%). Intussusception arose in most cases from the mid-rectum, and rarely from a rectal mucosal prolapse of the ampulla. Awareness of the abnormalities of the solitary ulcer syndrome on barium enema enables the radiologist to suggest the diagnosis and recommend defaecography to establish the functional disorder, which may help determine the appropriate medical or surgical treatment.
对43例经组织学证实为直肠孤立性溃疡综合征的患者进行了排粪造影检查，对33例患者进行了钡剂灌肠检查。钡剂灌肠检查显示所有病例的直肠均有改变。直肠皱襞增厚和痉挛最为常见，其次是溃疡和假息肉样改变。这些改变均非孤立性溃疡综合征所特有，但综合来看则高度提示该病。在排粪造影检查中，34例（79%）观察到直肠套叠。其中19例（44%）存在完全性外部脱垂，15例（35%）发现肛管内和直肠内套叠。套叠大多起源于直肠中部，很少源于壶腹直肠黏膜脱垂。钡剂灌肠检查时了解孤立性溃疡综合征的异常表现，可使放射科医生提出诊断并建议进行排粪造影以确定功能障碍，这可能有助于确定合适的内科或外科治疗方法。
