摘要
目的探讨常规上胃肠道气钡造影检查中补充贲门区四体位成像的意义。方法对153例求诊者进行常规上胃肠道气钡造影后,对贲门区的观察补加四体位摄像(简称四体位法)进行比较,选用χ2检验分析。结果 (1)四体位法检出贲门区异常43例、胃食管返流40例、返流性食管炎12例、各型食管裂孔疝9例、食管下段静脉曲张2例,检出率较常规法提高(依次为53.57%、60%、33.33%、28.57%、100%)。检出贲门区癌2例,平滑肌瘤1例,显示更多典型征象。(2)两种方法检出结果χ2检验有显著差异(χ2=4.1、P<0.05)。结论四体位法不仅提高贲门异常的检出率,且对贲门区器质性病变的定性及范围提供更多X线依据。
Objective To evaluate the cardia region abnormities by the gastrointestinal gas-barium examination plus the four-positions imaging.Methods After the conventional upper gastrointestinal barium examination,the four-positions contrast imaging were performed in 153 patients.Two imaging methods were compared with χ2 test.Results（1） Fouty-three abnormities of cardia region were detected including gastroesophageal reflux（n=40 cases）,reflux esophagitis（n=12 cases）,hiatus hernia（n=9 cases） and lower esophageal varices（n=2 cases） by the four position method.The improving rate of the plus method better than the conventional ones respectively was 53.57,60,33.33 28.5per cent respectively.The cardia cancer（n=2 cases）and smooth muscle tumor（n=1 case） were clearly showed.（2） The test results of the two methods was significant difference（χ2=4.1,P0.05）.Conclusions The four position method not only improves the detection rate of cardia abnormity,but also provides more accurate diagnosis.
出处
《上海医学影像》
2010年第3期206-207,共2页
Shanghai Medical Imaging
关键词
贲门区
双对比造影
四体位
X线摄像
Cardia region
Double contrast Radiography
Four-position
X-ray Image
