摘要
目的分析膈疝的X线特征,并对其检查方法进行比较。方法本组22例包括可复性食管裂孔疝3例,不可复性食管裂孔疝7例,胸腹膜裂孔疝5例,胸骨旁裂孔疝1例,创伤性膈疝6例。全部摄胸片,14例作钡餐,1例作钡灌肠,8例作胸部CT。结果14例膈疝钡餐清晰显示胃、小肠、或结肠疝入胸腔内,1例膈疝钡灌肠清晰显示结肠脾曲疝入胸腔内,7例膈疝CT显示部分大网膜、胃、小肠、结肠或部分脾组织疝入胸腔内。结论当膈疝内容物为消化道空腔脏器时,运用钡餐或钡灌肠诊断膈疝为最佳选择,创伤性膈疝应配以CT检查诊断效果更佳。
Objective To analyze the X-ray features of diaphragmatic hernia and to evaluate various imaging modalities. Methods the X - ray features of diaphragmatic hernia was reviewed in 22 cases, including sliding hiatus hernia （n = 3 ）, irreducible hiatus hernia （n = 7）, pleur-peritoneal hiatus hernia （n = 5）, parasternal hiatus hernia （n = 1 ） and traumatic diaphragmatic hernia（n =6）. Chest radiography were performed in all cases, GI in 14, BE in 1 and chest CT was done in 8 cases. Results Herniation of stomach and small or large intestinal loop into the thoracic cavity was clearly seen on all GI examinations performed in 14 cases. The splenetic flexure of the colon was found herniated into the thorax in 1 patient who received BE. Partial greater omentum, stomach, spleen and small or large intestinal loop herniated into the thorax was demonstrated on CT scan in 7 cases. Conclusion GI and BE are the first choice in diagnosis of the diaphragmatic hernia when hollow viscus, such as digestive tract, is the content of the hernia. Chest CT is recommended to evaluate the traumatic diaphragmatic hernia.
出处
《影像诊断与介入放射学》
2006年第4期190-192,共3页
Diagnostic Imaging & Interventional Radiology
关键词
膈疝
钡餐
钡灌肠
X线
Diaphragmatic hernia
GI
BE
X-ray
