醫(yī)學教學課件英文版：Radiodiagnosis in Contrast Examination of the Gastrointestinal Tract

2023/9/41RadiodiagnosisinContrastExaminationoftheGastrointestinalTract2023/9/42Section3

ContrastExaminationintheSmallIntestine2023/9/43小腸smallintestine[in'testin]十二指腸duodenum[.dju:?'di:n?m]空腸jejunum[d?i'd?u:n?m]回腸ileum['ili?m]盲腸cecum['si:k?m]

-um單數(shù)名詞后綴

NEWWORD2023/9/44闌尾appendix[?'pendiks]回盲部ileocecal[ili?u'si:k?l]junction十二指腸球部duodenalbulb硫酸鋇混懸液barium['be?ri?m]sulfate

suspension-al形容詞后綴2023/9/45詞根名詞形容詞

(詞根+名詞后綴-um)

(詞根+形容詞后綴-al)

duoden-duodenumduodenalcec-

cecumcecal詞根+詞根=新名詞ile+o+cec+al=ileocecal翻譯練習:craniocerebralinjurycrani/o/cerebr/al2023/9/46X線檢查床2023/9/472023/9/48fluroscopy2023/9/49AnatomyofSmallIntestine62023/9/410Including

duodenum,

jejunumandileum.AnatomyofSmallIntestine123564Sixgroups2023/9/411Theuppersectionisduodenum,

withtwelve

fingerssidebyside

length(20-25cm).AnatomyofSmallIntestineduodenum2023/9/412Jejunumandileum

hasnoobviousanatomicallandmark.

jejunumileumJejunumandileum2023/9/413Theileocecaljunctioncontainsthedistalpartofileum,ileocecalvalveandcecum.Thekeypointsofobservationfocusontheshapeandfunction.

※ileocecalvalve回盲瓣theileocecaljunction2023/9/414Thekeypointsofobservationfocusonthelength,width,position,fillingstate,mobility.theappendix2023/9/4151、

Thepatientmusthavenothingtoeatordrinkfor6-12hoursbeforetheexamination.2、

Thepatienthavetostop

takingradiopaquesubstances,suchasbariumsulfatesuspension、calciumtablet.Preprationabrosia[?b'r??z??]radiopaque[re?d???'pe?k]substances2023/9/416congenitalmalformation[m?lf?:'mei?n]pepticulcer['?ls?(r)]inflammation[infl?'mei?n]tumor

Indication2023/9/417diverticulum[daiv?:'tikj?l?m]exoticcompressionandinfiltrationofthegastrointestinaltractpostoperativechangesinthegastrointestinaltract

Indication2023/9/418contra-['k?ntr?]—“反對，相反”

gastrointestinalperforationmassivehemorrhagewithin7

daysgastrointestinalobstruction：iodicwatercanreplacebariumsulfatesuspensioncarefullyandcautiouslyinacontrastexaminationofalimentaryobstruction.

Contraindication2023/9/4191、administeringgasorgas-producingagent2、thesuspensionismadeofmedicalbariumsulfateandwater.Method2023/9/420Dilation[dai'lei?n]

ofthetractbasicpathologicchanges擴張賁門失遲緩癥

1、Thesizeandpositionofthetract

2023/9/421Strictureofthetract食道狹窄2023/9/422Niche[‘ni：?]龕影2、Changesofthecontour

2023/9/423diverticulum憩室2023/9/424Fillingdefect充盈缺損2023/9/4251、Patternsofthe

mucosalfolds(粘膜皺襞)

InnormalconditionRelaxantstate:feathersorspringfoldsContractionstate:longitudinalfoldsOverview2023/9/426

thesmallintestineloopsadheretoeachotherthemovementsofthesmallintestinearerestrictedandthesmallintestinesareagglomeratednarrowsegmentsandextensibleonescanbecoexistence(inx-ray)2、Adhesionofthesmallintestine

（小腸粘連）2023/9/4273、Fillingdefectinthesmallintestine

（小腸充盈缺損）

Thiscancausecompleteorincompleteobstruction.Commoncauseintumororhyperplasiainflammatorymass.2023/9/428Generally,thebariumsulfatesuspensiontake2-4hourstoreachtheileocecaljunction.Itwillbeevacuatedcompletely6hoursafteroraladministrationofthebariumsulfatesuspension.4、Functionofmovement2023/9/429Case1.Normal

CaseThestomachappearedinthefishhookshape.Nothingwasremarkableinthemucosalfoldsandperistalsesofthestomach.2023/9/430Thepylorusopenedintime.Allthesegmentsshowedordinaryintheduodenum.2023/9/431Thepatternsremainednaturalindistributionofthesmallintestine.2023/9/432Thebariumsuspensionreachedtheileocecaljunction

4hoursafterthefirstoraladministration.2023/9/433Thevisualizationoftheileocecaljunctionandcecumappearedinthenormalstatefortheposition,motionandshape.2023/9/434Diagnosis:

Thenormalvisualizationofthesmallintestinebyoraladministrationofthebariumsuspension.2023/9/435enteritis['ent?'raitis]gastritis[ɡ?'straitis]

Case2.segmentalenteritisandantralgastritis

普通英語醫(yī)學英語詞根

普通英語醫(yī)學英語詞根小腸intestineenter-胃stomachgastr--itis[aitis]后綴，炎癥2023/9/436Thegastricantrumlookedlikeaconeinshapewiththickenedmucosalfoldsintheuppergastrointestinalcontrastexamination.2023/9/437Itswallremainedsoft.Peristalsesbecameshallowandatonicinthegastricantrum.2023/9/438Multiplepartsofthesmallintestineshoweddilationsandstricturesintermittentlyaccompaniedwiththethickeningandasymmetricalmucosalfolds.2023/9/439Thelargestdiameterofthedilatedintestinalcanalreached4cm.2023/9/440Tenhoursafteroraladministration,theileocecaljunctioncouldbejustvisualized.2023/9/441Themucosalfoldswereflattenedwithmanysmallroundfillingdefectswiththecobblestonesigninthececumandapartoftheascendingcolon.Theileocecalvalvewasnarrow.cobblestonesign['k?blst?un]2023/9/442Diagnosis:1、Asegmentalenteritishasthemostpossibility.

考慮…2、Antralgastritis.2023/9/443Afteringestingthebariumsuspensionafewtimes,thepatienthadanormalvisualizationinthestomachandduodenum.Case3.Malignantlymphomainthesmallintestine2023/9/444Inthesmallintestine,themucosalfoldswerethickened,disorganizedandflattenedfromthe2ndand4thgroupsofthesmallintestine.2023/9/445Manypartsofthesmallintestineexhibitedeccentricstenosesinthelumensanddestructionsofthemucosalfolds.2023/9/446Theintestinalcanalshowedstenosesanddilationsintermittently.2023/9/447Inthesegmentsofthedilations,thereweremultiplenodularoffingerimpressedfillingdefectswithoutcontractiveperistalses.2023/9/448Thecontrastmediumdidnotreachtheileocecaljunctionuntil12hourslater.2023/9/449Atthattime,somebariumsuspensionstillexistedinthestomachandjejunum.2023/9/450Nothingwasremarkableintheileocecaljunction.2023/9/451Diagnosis

Malignantlymphomainthesmallintestine.2023/9/452ContrastExaminationintheColonSection4

2023/9/453結(jié)腸colon['k??l?n]升結(jié)腸ascendingcolon橫結(jié)腸transversecolon降結(jié)腸descendingcolon乙狀結(jié)腸sigmoid['sigm?id]colon結(jié)腸肝曲hepatic[hi'p?tik]

flexureofthecolon結(jié)腸脾曲splenic['splenik]

flexureofthecolon

NEWWORD2023/9/454闌尾appendix[?'pendiks]盲腸cecum

['si:k?m]

回盲部ileocecal[ili?u'si:k?l]

junction直腸rectum['rekt?m]肛門anus['ein?s]

NEWWORD2023/9/455AnatomyofColonascendingcolontransversecolondescendingcolonsigmoidcolonrectumhepaticflexureofthecolonsplenicflexureofthecolonappendixcecum2023/9/456Fillingstate2023/9/457盲腸升結(jié)腸橫結(jié)腸降結(jié)腸乙狀結(jié)腸

大腸粘膜像示大腸粘膜縱橫斜三種方向交錯結(jié)合Emptystate2023/9/458Method1、BariumEnema['enim?

]Fromtheanus['ein?s]

totheileocecaljunction.2、TwotypesSinglecontrast:onlybariumsulfatesuspensionDoublecontrast:bariumandgas2023/9/4593、ProcedureFluoroscopyProneposition/lieonthesideTheanaltubewasinserted.2023/9/460300mlofbariumsulfatesuspensionwasinfusedtothesplenicflexureofthecolon.800mlofairwasadministered.Thepatientturnaroundonthetableslowlyfor5roundsfromthelefttotheright.2023/9/461stricture['strikt??(r)]

狹窄dilation[dai'lei?n]

擴張destructionanddiscontinuationofmucosalfoldsfillingdefectOverview2023/9/462locationandrangeoflesionssinglelesionormultiplelesionsshapeoftheobliteration(suchascuppedorspring)mobilityofthecolon2023/9/463Case1.Normal

CaseUnderfluoroscopy,thefindingswerenormalinthechestandabdomen.Theanaltubewasinsertedsmoothly,withthepatientinaproneposition.2023/9/464300mlofbariumsulfatesuspensionwasinfusedtothesplenicflexureofthecolon.Then,800mlofairwasadministeredthroughtheanaltube.2023/9/465Letthepatientturnaroundonthetableslowlyfor5roundsfromthelefttotheright.2023/9/466Thewholecolonappearedingooddilation.Nofillingdefectandstenosiscouldbefound.Thecontourwasordinaryintheileocecaljunction.2023/9/467Diagnosis:Normalinthecolonindoublecontrastenema.2023/9/468Case2.carcinomaofcolon

Fluoroscopyinthechest:Therearesomepatchyspotsandnodulesintheleftupperlunginhyperdensity.Multiplenodulesofmediumdensitywereshowninbothlowerlungsindifferentsizes.2023/9/469Nothingwassignificantintheheart,diaphragmandabdomenunderfluroscopy.2023/9/470Bariumenemaofthecolon:Theanaltubewasinsertedsmoothly.Whentheheadofthebariumsulfatesuspensionreachedthesigmoidcolon,thelumenbecamenarrowwithanirregularmargin.2023/9/471Amassobstructedandpressedthecanal,mixedwithsomesuperficialcraters.2023/9/472Theshouldersigncouldbefoundintheregionofthemasswhichwasabout10.0cminlength.2023/9/473Therectumappearedslightlydilated.Thewallofthecolonremainedsoftintheotherpartsofthecolon,suchasintheascending,transversecolonandthemostpartofthedescendingcolon.2023/9/474Diagnosis:1、Aproliferativecancerinthesigmoidcoloninassociatedwithincompletecolonicobstructionandmultiplemetastasisinbothlowerlungs.2、Oldtuberculosisintheleftupperlung.2023/9/475Case3.IntestinaltuberculosisTwohoursafteroralingestionofthebariumsuspension,therewasalittlebariumsuspensionresidueinthestomach.2023/9/476Thestomachandduodenumappearednormal.Thesmallintestinehadbeenseenfromthe2ndtothe4thgroupswithnaturalmucosalfoldsandmovements.2023/9/477Intherepeatedexaminationsat3rd,4th,and5thhours,thesmallintestineshowedslightdilationinthe5thand6thgroupswithbadmovement.2023/9/478Tenhoursafteringestionofthebariumsuspension,itreachedtheileocecaljunction.2023/9/479Theproximalsegmentoftheterminalileumappeareddilated,whilethedistalpartoftheterminalileumshowedstenosis.2023/9/480Also,theintestinefromtheterminalileumtotherighthalfofthetransversecolonbecamenarrow,distortedandshortened,inwhichthelumenheldmultiplenodularfillingdefects.2023/9/481Theshadowofthececumdisappearedjustasadirectconnectionbetweentheterminalileumandtheascendingcolon.Therestofthecolonwasnormal.2023/9/482Diagnosis:Mixedintestinaltuberculosisintheterminalileum,cecumandascendingcolon.2023/9/483Case4.ColonicPolyposis

Thefluroscopyshowednaturalinthechestandabdomen.2023/9/484Ontheradiographs,therearemultiplefillingdefectsinthecolonindifferentsizeswithclearmargins.2023/9/485Someofthemhavepedicles

['pedikl]

toconnectwiththecolonicwall.2023/9/486Inanuprightposition,thelesionsarejustlikehangingonthewallofthecolon,whilethesurfacesareencircledsmoothlybythebariumasamarginallineofthemultiplenidi.2023/9/487Involvementsarelessintheascendingcolonthaninthetransverseanddescendingcolon.Thecolonicwallremainssoft.2023/9/488Diagnosis:

Colonic

polyposis[p?l?'p??sis]

2023/9/489Case5.clonicpolyposis

Familialmultiplepolyps2023/9/490PostoperativeChan