摘要
目的探讨不可复性食管裂孔疝的Ｘ线诊断及鉴别诊断。方法对２２例经食道钡餐证实的不可复性食管裂孔疝的Ｘ线资料进行分析。结果１８例立位胸片或胸透示左膈上心影后有类圆形软组织影或含气液囊腔，该囊壁外缘光整、内缘可光滑或不平，进餐或打嗝后其形态与大小常有变化，临床表现轻微或缺如、与囊腔大小不符；２２例食道钡餐示食管裂孔增宽，膈上见持续存在的胃疝囊。结论本病易误漏诊，提高诊断的关键在于加深认识、综合考虑。
Purpose To evaluate the role of X ray in the aged with irreducible
hiatus hernia.Methods 22 cases of irreducible hiatus hernia evaluated by plain film and
gastrointestinal examination were restrospectively analysed.Results 18 cases showed the ball
mass or sac with fluid level in the chest film or fluoroscopy behind the heart shadow.The outer
border of the sac were smooth and sharply defined,the inner were well defined or poorly
defined.The size of the sac and the fluid level often showed change after meal or belching.The
symptoms of hiatus hernia did not correlate with the size of hernial sac.22 cases showed the
dilated esophageal hiatus and the persisted appearance of the hernial sac of the stomach
above the diaphragm after barium meal.Conclusion The key to the diagnosis is getting a
deeper understanding and combination with clinical signs.The barium meal is a simple and
accurate method to evaluate the irreducible hiatus hernia. [
出处
《中国医学影像技术》
CSCD
北大核心
1999年第3期192-193,共2页
Chinese Journal of Medical Imaging Technology
关键词
不可复性
食管裂孔疝
钡餐
X线
Irreducible hiatus hernia
Chest film Barium meal
