小肠气钡双对比造影法的研究  

STUDY ON SMALL INTESTINAL AIR-BARIUM DOUBLE CONTRAST EXAMINATION

作　　者：张建国[1] 杨军[1] 牛广明[1] 苏秉亮[1] 

机构地区：[1]内蒙古医学院附属医院影像科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2007年第3期167-171,共5页Acta Academiae Medicinae Neimongol

基　　金：内蒙古医学院重大科研项目(NY2005ZD009)

摘　　要：目的:研究一种新的、简便易行的小肠双对比造影法—无管法快速小肠气钡双对比造影法。初步评价其效果,并与传统口服钡剂小肠造影法相比较,同时比较西沙必利与胃复安在小肠双对比造影中的药效。方法:将产气粉装入小肠溶胶囊,口服并在小肠内崩解,释放二氧化碳气体,配合口服钡剂及西沙必利,形成小肠双对比像。选取100例拟行小肠造影检查者,随即分为研究组和对照组,研究组67例采用本法,对照组33例采用口服钡剂法加肌注胃复安。结果:研究组53例效果满意,12例基本满意,2例未观察到明显双对比效果,其中1例因吞咽困难无法检查,总有效率97.02%,平均检查时间34.63±16.66m in;对照组均为单钡造影效果,平均检查耗时77.12±32.98m in;两种检查方法耗用时间及两种药物的效果在统计学上具有显著性差异(P<0.01)。结论:无管法快速小肠气钡双对比造影法确能形成良好的气钡双对比像,小肠观察效果较口服钡剂法有明显提高;西沙必利较胃复安药效更好、更安全。Objective：To explore a simple and convenient method of small intestine double contrast examination - smell intestine double contrast with air - barium by non - tube fast. To assess the value of new method and compare it with traditional method by taking orally. Moreover, to contrast cisapride with metoclopramide in new method. Methods： Take orally enteric - dissolved capsule full of aerogenic powder, which release carbon dioxide （CO2 ）. Meanwhile take orally barium and cisapride . One hundred patients were randomly divided into study group and control group, 67 patients of study group apply new methods, and 33 patients of control group apply both taking orally barium and inject metoclopramide. Results： In study group, satisfactory, ordinary and no effect was produced in 53, 12 and 2 cases, and a patient carrot examine because of dysphagia. Total efficiency is 97.02% and average time is 34.63 ± 16.66 min. The control group has ordinary effect and the average time is 77.12 ± 32.98 min. Two methods are of remarkable difference in effect and time in statistics （P 〈 0. 01 ） . Conclusion： Small intestine air- barium double contrast examination can have a more satisfactory effect than traditional method; cisapride is better and safe than metoclopramide.

关 键 词：放射学川 肠 气钡双对比 肠溶胶囊 西沙必利 

分 类 号：R814.43[医药卫生—影像医学与核医学] R816.5[医药卫生—放射医学]