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目的探讨过氧乙酸腐蚀性食管炎的X线和CT特征。方法分析7例过氧乙酸烧伤的消化道X线和CT资料。结果7例过氧乙酸腐蚀性食管炎主要X线表现为食管中下段管腔严重不规则狭窄,管壁僵硬、蠕动消失,正常黏膜皱襞消失,狭窄以上食管呈不同程度扩张;主要CT表现为中下段狭窄区管壁呈不规则性明显增厚,密度偏低,外缘模糊,周围脂肪线消失,食管上段有不同程度扩张。结论X线和CT检查可以清楚显示狭窄段部位、范围和程度,食管壁及周围受累情况,以指导临床制定治疗方案。
Objective To investigate the X-ray and CT features of peracetic acid-induced esophagitis. Methods Seven cases of peracetic acid burn digestive tract X-ray and CT data. Results The main X-ray findings of 7 cases of peracetic acid corrosive esophagitis were severe irregular stenosis of the middle and lower esophagus, stiffness of the wall, disappearance of peristalsis, disappearance of normal mucosal folds, and expansion of the esophagus above the stenosis. The main CT findings were as follows: In the lower section of the narrow wall was irregular thickening, density is low, the outer edge of the fuzzy fat around the disappearance of the upper esophagus have varying degrees of expansion. Conclusion X-ray and CT examination can clearly show the location, extent and degree of stenosis, esophageal wall and surrounding involvement, so as to guide the clinical development of the treatment plan.