反流性食管炎胃肠检查与胃镜对照研究  

Comparison between reflux esophagitis gastrointestinal series and gastroscopy

作　　者：谢亨银 

机构地区：[1]兴宁市人民医院消化科,广东兴宁514500

出　　处：《井冈山医专学报》2008年第3期14-15,共2页Journal of Jinggangshan Medical College

摘　　要：目的研究数字胃肠造影与胃镜检查在反流性食管炎诊断中的价值。方法采用数字胃肠造影与胃镜分别对286例反流性食管炎进行检查,并对二种检查结果进行对比分析。结果286例反流性食管炎中,数字胃肠造影的表现特征是:早期69例表现为功能性改变,钡剂滞留,食管排空缓慢,出现异常收缩波。中期172例表现为黏膜增粗,呈条状,颗粒状,部分病例有小溃疡形成。晚期45例表现为食管黏膜明显增粗,紊乱,有多个小溃疡,管腔狭窄,钡剂通过受阻,Bar-ret食管形成。胃镜检查食管黏膜充血286例,糜烂融合成片171例,溃疡69例,食管腔狭窄57例。结论数字胃肠检查对食管功能性变化,形态与病变范围,胃对食管的影响较清楚,观察也较全面。胃镜对食管炎腔内病变显示较为理想,特别是对早期食管炎病变的观察,同是亦可做病理检查定性。Objectlve：To study the value of diagnosis to reflux esophngitis by gastrointestinal series and gastroscopy.Methods： 286cases of esophagitis were checked by gastrointestinal series and gastroscopy,analysing the re-suits of two methods.Results： Among 286 eases of esophagitis,the typical characteristic of eases by gastrointestinal series were：69 cases with early illness history showed the functional change of esophagus,the dose of barium kept in the stomach,the empty of the esophagus was slow and the special wave of contract occurred; 172 eases with middle ill-ness history showed mucous membrane widened,pellet, some eases formed light ulcer, 45 cases with long illness history showed the wideness of mucous membrane increased obviously in esophagus,disordered,there were a lot of small ul-cers,the esophagus turned to be narrow and the dose of barium went through with difficulties.Barret formed.Among 286 eases of bloody mucous membrane in esophagus by gastroscopy, 172 cases were erosion combined into pieces, 69 cases of ulcer, 57 cases as narrowness of esophagus.Conclusion：The digital gastrointestinal series is good to diagnose the functional change,shape and scope of esophagus.It is dear to observe the effect of stomach to esophagus.Gas-troecopy is an ideal method to observe the pathological changes,especially,it can observe the early pathological changes on esophagus,it also helps to diagnose on the pathology.

关 键 词：反流性食管炎 胃肠检查 胃镜诊断 

分 类 号：R571[医药卫生—消化系统]