Mage K, Duhamel J F, Sauvegrain J, Ricour C
J Radiol. 1980 Dec;61(12):763-8.
The contribution of radiological examinations to the evaluation of radiation lesions of the digestive tube in 17 children is discussed. The lesions observed were stenosis, submucous infiltration, and mesenteritis from vasculitis. Ali the patients had been treated with high irradiation doses varying from 3,000 to 5,500 rads. Clinical manifestations appeared after intervals of from 2 months to 13 years, but the anatomical lesions seemed to occur early and to show little change once they were established. Except when an acute occlusion was present, radiological examination consisted of a barium meal and follow through, able to demonstrate anomalies in the folds, stenosis, dilatation, or thickening and matting of the intestinal loops.
本文讨论了放射学检查对17例儿童消化道放射性损伤评估的作用。观察到的损伤包括狭窄、黏膜下浸润以及血管炎引起的肠系膜炎症。所有患者均接受了3000至5500拉德的高剂量辐射治疗。临床表现出现在2个月至13年不等的间隔之后,但解剖学损伤似乎出现较早,一旦形成变化不大。除存在急性梗阻外,放射学检查包括钡餐检查及钡剂追踪检查,能够显示皱襞异常、狭窄、扩张或肠袢增厚及粘连。