韓新巍 吳剛 陳建立 馬南 高雪梅 王艷麗 馬波 邢古生
【摘要】 目的 探討過氧乙酸腐蝕性食管炎的X 線和CT 特征。方法 分析7 例過氧乙酸燒
傷的消化道X 線和CT 資料。結果 7 例過氧乙酸腐蝕性食管炎主要X 線表現為食管中下段管腔嚴
重不規則狹窄, 管壁僵硬、蠕動消失, 正常黏膜皺襞消失, 狹窄以上食管呈不同程度擴張; 主要CT 表
現為中下段狹窄區管壁呈不規則性明顯增厚, 密度偏低, 外緣模糊, 周圍脂肪線消失, 食管上段有不同
程度擴張。結論 X 線和CT 檢查可以清楚顯示狹窄段部位、范圍和程度, 食管壁及周圍受累情況,
以指導臨床制定治療方案。
【關鍵詞】 食管炎; 過乙酸; 放射攝影術; 體層攝影術, X 線計算機
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

過氧乙酸腐蝕性食管炎的X 線和CT 對照研究.rar