数字胃肠X线造影与内镜检查对真菌性食管炎诊断的对照研究  

The value of radiography classificatory criteria for fungal esophagitis in clinical application

作　　者：李峰[1] 赵慧娟[1] 王玲[1] 李琳[1] 李芸芸[1] 尹成方[1] 

机构地区：[1]聊城市人民医院放射科,山东省252000

出　　处：《中华临床医师杂志（电子版）》2011年第16期4689-4693,共5页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的通过与内镜分级表现相对照,探讨数字胃肠造影技术对真菌性食管炎的诊断价值,并对真菌性食管炎X线分度标准的临床应用进行评价。方法选取45例经内镜和涂片病原学检查确诊的病例,对数字胃肠造影和内镜检查中真菌性食管炎的分度/分级表现进行分析。结果在确定真菌性食管炎的分度/分级表现时,数字胃肠造影检查与内镜检查相比,Kappa值为0.543,具有中高度的一致性。对其中13例病灶很小(直径≤1mm或病灶呈粟粒样)的真菌性食管炎病例,其在黏膜相中的显示情况(9/13)优于在双对比相(4/13)和钡剂充盈相(0/13)中的显示情况。结论对于粟粒样的病灶,数字胃肠造影检查的动态黏膜图像往往更易发现病变。真菌性食管炎X线分度标准具有较好的临床应用价值,但在其可操作性上还可以进一步改进。Objective The purpose of this report is to evaluate the role of digital gastrointestinal radiography in the diagnosis of the fungal esophagitis compared with endoscopy,and to explore the clinical application of the X-ray grading scale of fungal esophagitis for digital radiography.Methods 45 cases were conformed by endoscopy and cytology.The roentgenographic features of these fungal esophagitis cases were analyzed respectively,regarding the endoscopy findings as standard.Results The fungal esophagitis' features of esophagography in different grades were compared with that of endoscopy.DR was relatively consistent with endoscopy(the value of Kappa is 0.543).The lesions,which diameter of plaques were less than 1 mm or similar as military,could be observed more clearly at the mucosal phase(9/13)than double-contrast phase(4/13)and filling phase(0/13).Conclusions For miliary-like lesions,we should pay more attention to the use of dynamic monitoring technique.The grading scale for X-ray findings of fungal esophagitis has a good clinical value,but its operability should be further improved.

关 键 词：食管炎 真菌 X线 内窥镜 

分 类 号：R571[医药卫生—消化系统]