过氧乙酸腐蚀性食管炎的X 线和CT 对照研究

韩新巍 吴刚 陈建立 马南 高雪梅 王艳丽 马波 邢古生
【摘要】 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。
【关键词】 食管炎; 过乙酸; 放射摄影术; 体层摄影术, X 线计算机
Compar ative study on the ra diographic and CT findings of per oxyacetic acid cor rosive esophagitis
HAN Xin-wei, WU Gang, CHEN J ian-li , MA Nan, GAO Xue-mei, WANG Ya n-li, MA Bo, XING Gushen.
Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052,
China
【Abstra ct 】 Objective To explore the radiographic and CT findings of peroxyacetic acid corrosive
esophagitis. Methods The radiographic and CT manifestations were analyzed in 7 cases with peroxyacetic
acid corrosive esophagitis retrospectively. Results The main radiographic manifestations were badly
irregular stenosis of esophageal tract in middle and low segment, ankylosis of esophageal wall, disappearance
of creepage, disappearance of mucous membrance, different extent of dilatation beyond stenosis segment.
The main CT manifestations were obvious thickening of the esophageal wall in stenosis segment, blurring of
the esophageal outer edge, disappearance of the fat line and different extent of dilatation beyond esophageal
stenosis segment. Conclusion The site, area, degree of the peroxyacetic acid corrosive esophagitis and the
injured organs around esophagus can be clearly demonstrated with X-ray and CT, which can direct the
clinical therapy.
【Key wor ds】 Esophagitis; Peroxyacetic acid; Radiography; Tomography, X-ray computed

过氧乙酸腐蚀性食管炎的X 线和CT 对照研究.rar