消化道Behcet氏病的X线表现(附6例报告)

本文报告消化道双重造影有异常表现的Behcet氏病患者6例,其中2例为食管病变,4例为回盲部病变,6例均有反复发作口腔溃疡及皮肤关节损害病史,2例有阴部溃疡史。根据X线形态表现将消化道Behcet's病分为两型:(1)溃疡型:5例,病变表现典型,为圆形或类圆形龛影,单发或多发,边缘光滑锐利;(2)增生型:1例,病变表现不典型,除龛影外,可见息肉状或类圆形充盈缺损,管腔狭窄,一般为病变的后期。小血管炎为其病理特征。

X-ray Findings of Gastrointestinal Behcet''''s Disease

Six patients with Behcet's disease were reported. The abnormal gastrointestinal signs were found in double contrast examination. Two cases were esophageal, and 4 cases ileocecal lesions. All of the patients complained recurrent oral ulceration and relapsing arthritis or skin lesions. Two patients complicated with genital ulcers. The X-ray findings of gastrointestinal Behcet's disease were classified as two types: (1) The ulceration were round with smooth and sharp edges, which were single of multiple. It was called ulcerative type (5 cases). (2) The polypoid or round-like filling defect were viewed besides ulcers, and the lumen was stenotic, which were called hyperplastic type (one case). The pathological changes of the Behcet's disease was the inflammation of the small blood vessels.