A radiologic study of tuberculosis of the abdomen (gastrointestinal tract).
A radiologic study of tuberculosis of the abdomen (gastrointestinal tract).
复制标题
腹部（胃肠道）结核的放射学研究。
DOI：
10.2214/ajr.123.2.348
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发表时间：
1975
期刊：
影响因子：
--
通讯作者：
E. A. Lewis
中科院分区：
文献类型：
--
作者：
T. Kolawole;E. A. Lewis
本文对160例腹部结核的X线表现进行了回顾性分析。胃肠道的3种标准检查（腹部X线平片、钡餐和随访检查以及钡灌肠检查）需要提供有用的诊断指标。腹部X线平片显示腹水三联征，右髂窝无气影，回肠末端节段性扩张，非常可疑肠结核。在钡餐检查显示小肠紊乱型时，当这种类型与仰卧位和直立位X线片上肠袢固定、毛刺和小肠多发性狭窄有关时，应考虑腹部结核。虽然十二指肠空肠和回盲部是最常见的受累部位，但病变并不局限于这些部位，也可能累及消化道的任何部分，如食管、小肠和大肠。然而，在本研究中没有遇到肛门直肠病变。
The roentgenologic features of 160 cases of tuberculosis of the abdomen are reviewed. The 3 standard examinations of the gastrointestinal tract (plain film abdominal roentgenography, barium meal and follow-through studies, and barium enema examinations) are required to provide useful pointers towards the diagnosis. In plain film roentgenography of the abdomen, the triad of ascites, absence of gas shadows in the right iliac fossa, and segmental dilatation of the terminal ileum demonstrates features which are very suspicious of intestinal tuberculosis. In the barium meal studies showing disordered small bowel patterns, tuberculosis of the abdomen should be considered when this pattern is associated with fixation of bowel loops on supine and erect roentgenograms, spiculation and the presence of multiple strictures in the small bowel. Although the duodenojejunal and ileocecal regions are the commonest sites involved, lesions are not confined to these sites alone, but may also involve any part of the alimentary canal such as the esophagus and the small and large bowel. However, no anorectal lesions were encountered in this study.