先天性十二指肠隔膜症(附11例报告)  

Congenital Duodenal Diaphragm (Report of 11 Cases)

作　　者：彭玉萍[1] 于伟利[1] 李润明[1] 

机构地区：[1]西安医科大学第二附属医院放射科,710004

出　　处：《现代医用影像学》1998年第5期201-203,共3页Modern Medical Imageology

摘　　要：目的：探讨十二指肠隔膜症的X线表现，提高其X线正确诊断率。材料与方法：共11例，男4例，女7例，年龄1天～2岁。主要临床症状为间歇性呕吐。11例均经上稍化道造影及手术、病理证实。结果：11例中，隔膜位于降部4例，水平部1例，十二指肠空肠交界处6例。无孔型4例，有孔型7例。X钱表现为“双泡征”或“三泡征”；十二指肠梗阻，梗阻近端胃、十二指肠不同程度扩张；梗阻端呈交向远端的半圆弧形。无孔型是完全性梗阻；有孔型梗阻较轻，造影剂是细线状、间歇性通过。结论：X线检查具有重要的诊断价值。Purpose: To evaluate the x -ray manifestations of congenital duodenal diaphragm and so as to increase the correct rate in x -ray diagnosis for this disease. Matfrials and Methods: In 11 cases, 4 males and 7 females, age from 1 day to 2 years old. The main clinical symptom is intermittent vomiting' All of 11 cases were confirmed by gastrointestinal barium meal' operation and pathology. Results: In 11 cases, the diaphragm was located at the second part of duodenum in 4 cases, the third part in 1 case and duodeno -jejunal flexure in 6 cases. Among them, non -hole pattern in 4 cases, hole pattern in 7 cases. The x-ray manifestations of this disease are 'double bubbles sign-' or 'three bubbles sign' and duodenal obstruction. The obstructive spot was semi - circle, simultaneously the dilatation of stomach and duodenum found in different degree. in non-hole pattern, the obstruction of duodenum is complete; In hole pattern, the obstruction is incomplete, some contrast medium were found passing through the obstructive spot and entering into jejunum with fine thread and intermittently' Conclusion: X -ray examinations are of very important diagnostic value in congenital duodenal diaphragm.

关 键 词：先天性 十二指肠隔膜 X线诊断 

分 类 号：R574.510.4[医药卫生—消化系统]