Herlinger H, Maglinte D D
Radiology. 1986 Mar;158(3):605-11. doi: 10.1148/radiology.158.3.3945730.
The number of folds in the proximal jejunum was measured retrospectively in 25 studies of patients with adult celiac disease and 75 control subjects. The average number of folds per inch of proximal jejunum in the group with celiac disease was 2.88 (none to five), as against 4.88 (three to seven) in the controls. The difference was less pronounced in the distal ileum. A "mosaic pattern" was demonstrated in three patients. Positive radiologic evidence of celiac disease could be elicited in 76% of the patients' studies. Demonstration of five or more folds in the jejunum and/or three or fewer folds in the ileum would have been evidence against a diagnosis of celiac disease in 67 of the 75 controls. Indications for the use of radiography in celiac disease are reassessed.
在25项针对成年乳糜泻患者的研究以及75名对照受试者中，对近端空肠的皱襞数量进行了回顾性测量。乳糜泻组近端空肠每英寸的平均皱襞数量为2.88（范围从无到5个），而对照组为4.88（范围从3到7个）。在回肠末端，这种差异不太明显。有3名患者呈现出“马赛克图案”。在76%的患者研究中可得出乳糜泻的阳性放射学证据。在75名对照受试者中，若空肠有5个或更多皱襞和/或回肠有3个或更少皱襞，那么在67例中这将作为排除乳糜泻诊断的证据。对乳糜泻放射检查的应用指征进行了重新评估。
