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目的:探讨食管Behcet病的X线表现。方法:9 例食管Behcet病病人,男性7例,女性2例,平均年龄44岁。口腔溃疡9例,生殖器溃疡6例,眼部疾患2例。主诉胸骨后疼痛6例,吞咽困难4 例。9例均进行食管双对比造影,内镜检查及病理活检。结果:病变位于食管中下段(8例),单发(4例)或多发(5例),龛影类圆形或椭圆形(6例),周边有环状透亮晕(6 例),4例伴有食管狭窄,1例伴有食管穿孔。龛影大小为0.3~5 cm ,其中8 例有1cm 以上龛影。结论:食管较大的类圆形或椭圆形龛影,周边有环状透亮晕,无管壁破坏,或伴有无明确界限的食管狭窄,这些可能是食管Behcet病的X线征象。
Objective: To investigate the X-ray findings of esophageal Behcet’s disease. Methods: Nine patients with esophageal Behcet disease, 7 males and 2 females, with an average age of 44 years. Oral ulcers in 9 cases, genital ulcers in 6 cases, eye disorders in 2 cases. Chief complaint chest pain in 6 cases, 4 cases of dysphagia. All 9 patients underwent esophageal double contrast angiography, endoscopy and biopsy. Results: The lesion was located in the middle and lower esophagus (8 cases), single (4 cases) or multiple (5 cases), with round or ovoid kyphosis (6 cases) Case accompanied by esophageal stenosis, 1 case accompanied by esophageal perforation. Kanying size is 0.3 ~ 5 cm, of which 8 cases have more than 1cm Kanying shadow. CONCLUSIONS: A larger oval or oval shrine of the esophagus with circular, translucent halo around the wall, or ruptured esophageal wall with no clear borderline esophageal stenosis may be X-ray signs of esophageal Behcet’s disease.