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目的:通过对黑斑息肉病的影像学表现的分析,提高对该疾病的认识。方法:回顾分析本院经病理证实的8例黑斑息肉病的全消化道造影资料,并结合临床和病理资料共同分析。结果:临床以口唇粘膜、肢端色素沉着为体征,腹痛、腹胀及消化道出血为主要症状。全消化道造影示:肠息肉多分布在空回肠,多发,可并发肠套叠,息肉可恶变。息肉以错构瘤为主,可合并腺瘤,恶变后呈腺癌。结论:胃肠道造影检查对发现黑斑息肉病,特别是小肠息肉有重要诊断意义,而且为无创的定期随诊提供了平台。
Objective: To improve the knowledge of the disease by analyzing the imaging manifestations of polyposis. Methods: We retrospectively analyzed the gastrointestinal angiography data of 8 cases of palsy polyposis confirmed by pathology in our hospital, combined with clinical and pathological data. RESULTS: Clinical symptoms were oral mucosal and acral pigmentation, abdominal pain, abdominal distension and gastrointestinal bleeding as main symptoms. Total gastrointestinal angiography showed that intestinal polyps were mostly distributed in the jejunum of the jejunum, with multiple lesions, involuntary intussusception, and polyposis. The polyp is mainly composed of hamartoma, which can be combined with adenomas and become adenocarcinoma after malignancy. CONCLUSIONS: Gastrointestinal angiography is important for the diagnosis of polyposis, especially small intestine polyps, and provides a platform for non-invasive follow-up visits.