小肠结核与Crohn病之鉴别诊断

目的：探讨小肠结核与Ｃｒｏｈｎ病之鉴别诊断。材料与方法：本组３１例，男１６例，女１５例。小肠钡餐３１例，其中１２例追加钡灌肠，６例钡餐后３小时肌注新斯的明。结果：小肠结核１３例，Ｃｒｏｈｎ病１８例。３１例中溃疡形成１３例，９例为Ｃｒｏｈｎ病，４例为肠结核。粘膜不规则破坏１３例，均见于肠结核，１８例Ｃｒｏｈｎ病中有９例粘膜不规整。肠管变形狭窄１７例，其中１０例为Ｃｒｏｈｎ病，７例为肠结核。结论：小肠结核以肠粘膜破坏，肠管狭窄，肺部常有结核病灶为其鉴别点；Ｃｒｏｈｎ病以溃疡形成，部分病例多部位受累为其鉴别点。

Radiological Differential Diagnosis of Tuberculosis and Crohn Disease of the Small Bowel

Purpose: To analyze radiological differential diagnosis of tuberculosis and crohn disease of the small bowel. Materials and Methods: We performed radiography in 31 cases (16men, 15 wowen). Of them were added barium enema examinations in 12 cases. Neostigminum was injected muscularly 3 hours after barium meal in 6 cases. Results: Small intestine TB were in 13 cases and crohn disease in 18. In 13 cases of ulceration 9 cases were crohn disease and 4 TB. Mucosa irregular destructions were in all cases with small intestine TB. Mucosal irregularity was in 9of 18 cases with crohn diseases. In 17 cases of stenosis, 10 cases were crohn diseases and 7 cases small itestine TB. Conclusion: Small bowel TB was characterized by mucosa destruction, stenosis and TB foacuses in lungs commonly, while crohn disease by ulceration and multiple parts involved.