食管异物及食管损伤X线诊断  

X-ray findings and differential diagnosis of esophageal foreign body and injury

作　　者：韩广秀[1] 张萍[2] 张淑香[3] 刘芳[1] 王元国[1] 

机构地区：[1]山东省立医院PET-CT中心,山东济南250021 [2]山东省苍山县人民医院放射科,山东苍山277700 [3]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2007年第10期1063-1065,共3页Journal of Medical Imaging

摘　　要：目的:探讨食管异物及食管损伤的X线诊断与鉴别。方法:15例食管异物与食管损伤患者采用普通X线透视检查及食管钡餐造影确诊,后经内镜及临床治疗证实。结果:本组病例中不透X线异物4例,其异物的形态特征及位置均表现典型;透X线异物11例,其X线表现为食管腔内不规则的充盈缺损及杯口状阻塞,食管壁损伤者龛影形成,龛影周围黏膜平坦。结论:X线透视钡餐造影不仅对食管异物与食管损伤做出定位、定性诊断,亦能明确食管异物的大小及其与邻近组织结构的关系,据此提出了食管异物损伤与食管癌的鉴别特点,为临床治疗提供重要的参考依据。Objective：To study X-ray findings and the differential diagnosis of esophageal foreign body and injury. Methods：X-ray fluoroscopy examination and barium meal were performed in 15 cases with esophageal foreign bodies and injury. All eases were proven by esophagoseope examination and clinic treatment. Results：The shapes and locations of foreign bodies were obvious in 4 cases with opaque foreign bodies. X-ray findings of nonopaque foreign bodies in 11 cases were intracavity filling defects and cup-mouth-shape filling defects. Niches shadows with plain membrane around were found in 3 cases concurrent esophageal injury. Conclusion： X-ray fluoroscopy examination and barium meal can not only make locations and characters of foreign bodies confirm, but also provide information of their sizes and relations between adjacent structures.

关 键 词：食管异物 食管损伤 X线诊断 

分 类 号：R571[医药卫生—消化系统] R445.4[医药卫生—内科学]