摘要
目的:分析隔疝的胸部平片、胃肠道钡餐造影及胸部螺旋CT表现,探讨其诊断价值。材料与方法:对62例有完整的临床、影像、手术病理资料的膈疝进行回顾性分析。62例中食管裂孔疝26例,胸腹膜裂孔疝14例,胸骨旁裂孔疝5例,创伤性膈疝17例。结果:平片检查快速、简便、价格低廉,但诊断价值有限,正确率仅45.2%;钡餐造影明显优于平片,正确率77.4%,但对实质性脏器显示能力差,易致误诊;螺旋CT检查明显优于平片和胃肠钡剂造影,正确率95.5%,加用三维重建可清楚显示疝内容物及膈肌缺损部位及范围,但对滑动性疝易漏诊且不能反映胃肠道功能。结论:三种影像检查方法各有其特点,螺旋CT是最有价值检查方法,三者有机结合,可提高诊断正确率。
Purpose：To analysis The image features of chet X-ray film,gastrointestinal barium examination and chest CT and to explore their diagnostic value for diaphragmatic hemia（DH）.Materials and Methods：The imaging features of 62 Patients with complete clinical,imaging and pathlolgical meterials were analysis in details before operation.oesophagus gap hernia 26 examples,chest peritonaeum gap hernia 14 examples,other gap of breastbone hernia 5 examples,wound diaphragmatocele 17 examples.Results：Chest X-ray film is rapid,simple and cheap,but its diagnostic value is limited,only with accurate 45.2%.Gastrointestinal barium examination is obviously better than that of chest X-ray film with accurate rate 77.4%.Obvious radiography better than putting down movie and the stomach intestine barium agent helix CT is examined,rightness rate 95.5%.Add three-dimensional reconstruction of use but understand location and range demonstrating the hernia content thing and the diaphragm defect,hernia is easy not to miss and examining and to be able to not reflect gastrointestinal tract function but to the sex sliding.Conclusion：Three kinds portrait go over method have whose characteristic respectively,Obvious radiography better than putting down movie and the stomach intestine barium agent helix CT is examined,The triple is organically combined,To improve diaphragmatocele diagnose rightness rate.
出处
《现代医用影像学》
2010年第3期136-139,共4页
Modern Medical Imageology
关键词
膈疝
影像
诊断
Diaphragmatic hermia Imaging diagnosis
