关键词: 肠结核, 结核分枝杆菌, 体层摄影, 钡餐造影, X线计算机

Abstract: Objective To improve the understanding and diagnostic level of the intestinal tuberculosis (ITB) by analyzing its X-ray barium meal examinations and CT findings.Methods X-ray barium meal examinations and CT findings of 10 patients with ITB proved by clinical pathology were collected and analyzed.CT scan was performed in 2 cases,and both CT scan,CT enhanced scan and X-ray barium meal examinations were carried out in 4 cases.Small intestine radiography was carried out in 2 cases.Large intestine radiography was carried out in 2 cases.Results ①Ulcerated intestinal tuberculosis:8 cases.Four cases of pulmonary tuberculosis and intestinal tuberculosis were characterized by multiple small ulcer and local stenosis.Two cases of intestinal tuberculosis were accompanied with fistula formation,which were characterized by terminal ileum fistula and barium spillover.Abdominal CT findings of two cases were normal,but X-ray barium meal radiography were presented as intestinal tuberculosis.②Proliferative intestinal tuberculosis:2 cases.One case of intestinal tuberculosis was accompanied with intestinal obstruction.One case of ascending colon and transverse colon tuberculosis,appeared as stratified phenomenon of "target sign" and "double loop sign".Conclusions Most ITB may have some specific CT and X-ray characteristics,which facilitate to make a correct preoperative diagnosis,especially combined with relevant clinical data,and provide theoretical evidence for clinical treatment and prognosis.

Key words: Intestinal Tuberculosis, Mycobacterium tuberculosis, Tomography, Barium meal radiography, X-ray computed