Multi-slice Computed Tomography Enteroclysis in Evaluation of Active Ulcerative Colitis
10.3969/j.issn.1005-5185.2014.10.010
- VernacularTitle:多层螺旋CT肠道造影在活动期溃疡性结肠炎评估中的应用
- Author:
Xiaoyan YANG
;
Zhi DONG
;
Yanji LUO
;
Lisha ZHOU
;
Ziping LI
;
Shiting FENG
- Publication Type:Journal Article
- Keywords:
Colitis,ulcerative;
Tomography,spiral computed;
Contrast media
- From:
Chinese Journal of Medical Imaging
2014;(10):760-763
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To summarize the characteristics of computed tomography enteroclysis (CTE) in active ulcerative colitis (UC), and to explore the value of multi-slice CTE in the evaluation of UC. Materials and Methods Thirty-five patients with active UC confirmed by clinical manifestation, colonoscopy and pathology underwent CTE examination in the study. According to the modiifed Mayo-score, the patients were divided into mild group, moderate group and severe group, and the CTE manifestations were compared among the three groups. Results Among 35 patients, 6 patients were in the mild group, 13 in the moderate group, and 16 in the severe group. Submucosal bubbles had signiifcant differences between mild and moderate groups (P<0.05), bowel wall stratiifcation, disappearance of haustra and enlarged mesenteric lymph nodes were signiifcantly different between moderate and severe groups (P<0.05), and engorged vasa recta was significantly different between the 3 groups (P<0.05). However, bowel wall thickening, mural hyperenhencement, narrow lumen and fatty deposits around the rectum showed no difference between the three groups (P>0.05). Conclusion Multi-slice CTE can provide image features of bowel wall, intestinal tube and structures outside intestine in the evaluation of UC, thus it is useful in the diagnosis of active UC as well as in its clinical grading.
