无管法快速小肠气钡双对比造影法的研究  

Small Intestinal Quickly Air-Barium Double Contrast Examination with non-intabatton

作　　者：张建国[1] 杨军[1] 牛广明[1] 苏秉亮[1] 

机构地区：[1]内蒙古医学院第一附属医院影像科,内蒙古呼和浩特010050

出　　处：《实用放射学杂志》2007年第9期1189-1192,共4页Journal of Practical Radiology

基　　金：内蒙古医学院重大科研项目(编号: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。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130例拟行小肠造影检查者,随机分为研究组和对照组,研究组67例采用本法,对照组63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±16.66)m in;对照组均为单钡造影效果,平均检查耗时(77.12±32.98)m in;2种检查方法耗用时间及2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。Objective To explore a simple and convenient method of small intestine double contrast examination：small intestine double contrast radiography with air- barium by non - tube fast. Methods 130 cases were randomly divided into study group （67 ） and control group （63 ）. In study group,the enteric- coated capsules to be full of aerogenic powder, barium and cisapride were taken orally by the patients,while in control group, only barium was given orally, and metoclopramide injected by muscle, then the small intestinal air- barium double contrast examinations were performed. Results In the study group, the effect of examinations was satisfactory, ordinary and no effect in 53,12 and 2 cases respectively,and one patients fell because of swallowing difficulty, the total efficiency was 97.02% and the average examination time was （34.63 ± 16.66） minute. In the control group, the effect of examinations was all ordinary and lasted time was （77.12 ± 32.98 ） minute. These two methods were of remarkable difference in effect and lasted time in statistics（ P 〈 0.01 ）. Conclusion Small intestine air - barium double contrast examination is superior to traditional method in effect and the lasted time of examination.

关 键 词：小肠 气钡双对比造影 肠溶胶囊 西沙必利 放射摄影术 

分 类 号：R322.45[医药卫生—人体解剖和组织胚胎学] R814.43[医药卫生—基础医学]