霉菌性食管炎数字化X线分度表现探讨  

Mycotic Esophagitis：Classification of Digital Radiography

作　　者：尹成方[1] 赵慧娟[1] 廉东升[1] 王玲[1] 李琳[1] 于雅美[1] 李芸芸[1] 

机构地区：[1]山东省聊城市人民医院放射科,山东聊城252000

出　　处：《实用放射学杂志》2009年第2期197-199,共3页Journal of Practical Radiology

摘　　要：目的探讨霉菌性食管炎的数字化X线分度表现。方法采用数字化胃肠造影的多相位连续摄片动态检查技术及后处理技术,对126例霉菌性食管炎患者进行检查,并与内镜下霉菌性食管炎分级表现相对照,总结出霉菌性食管炎数字化X线分度表现。结果126例霉菌性食管炎中,轻度27例,中度62例,重度37例。数字化胃肠造影对轻、中、重度的敏感性、特异性分别为：85.19%、95.77%;90.91%、97.06%;92.59%、98.59%。结论对霉菌性食管炎的X线表现进行分度,可以提高霉菌性食管炎的检出率,减少食管炎钡餐检查时的漏诊和误诊。Objective To discuss the classification of digital radiography （DR） of mycotic esophagitis. Methods 126 cases with mycotic esophagitis were examined by digital sequentiall spot film and post--processing technique. The lesions were classified based on the findings of DR and compared with that of endoscope. Results The lesions could be classified into slight degree（27 cases）, moderate degree（ 62 cases） and serious degree（37 cases） according to DR features. The sensitivity and specificity in classification of the lesions for slight, moderate and serious degree with digital gastrointestinal radiography were 85.19 % and 95.77 %, 90.91% and 97.06% ,92.59% and 98.59% respectively. Conclusion The DR classification of the mycotic esophagitis can improve the detecting rate and decrease the misdiagnosis of lesions.

关 键 词：食管 食管炎 霉菌性 数字化X线摄影 

分 类 号：R571[医药卫生—消化系统] R814.4[医药卫生—内科学]