胃石症的X线诊断与临床  

Clinical and Diagnostic Value of X-ray in Gastric Bezoar

作　　者：贾云岭[1] 晏正光[1] 欧仕洪[1] 陈昊炜[1] 郑永兰[1] 邝双鑫[1] 

机构地区：[1]中国人民解放军169医院放射科,湖南衡阳421002

出　　处：《中外医疗》2011年第8期10-11,共2页China & Foreign Medical Treatment

摘　　要：目的分析胃石症的临床表现与X线钡餐造影的影像学特征与价值,以提高影像诊断水平。方法回顾性分析经X线钡餐确诊的20例胃石症的影像表现,其中4例行胃镜检查。结果 20例胃石症中19例食用新鲜柿子,1例食用柿饼子,最大者20cm×8cm,最小者5.2cm×4cm,年龄最小者20岁,最大者82岁,男性14例,女性6例,食用柿子后至发病时间,最长3个月,最短7d,其中6例多次食用多个新鲜柿子,13例一次食用多个新鲜柿子,1例一次食用多个柿饼子。结论 X线钡餐造影能清晰显示结石大小、形态及内部结构,能够明确诊断;对临诊治有一定参考价值,患者易于接受,为首选检查方法之一。Objective To analyze the clinical manifestations of the gastric bezoar and the imaging features and value of X-ray barium meal,to improve the imaging diagnosis.Methods A retrospective analysis of imaging characteristics of 20 cases of X-ray barium meal confirmed gastric bezoar were done,of which 4 cases have accepted gastroscopy.Results 18 cases have eaten persimmon,2case has eaten persimmon cakes.The biggest stone is 20cm x 5cm,the smallest stone is 12cm x 4cm,the oldest patient is 82 years-old,the youngest one is 20 years-old.14cases of men,6cases of women.After eating persimmon to the onset of diseases,the longest one is 3months,the shortest one is 7days.6cases have eaten many persimmon for many times,13 cases have eaten many persimmon for once,1 cases have eaten many persimmon cakes for once.Conclusion X-ray barium meal can clearly show stone size,shape and internal structure,X-ray barium meal has play an important role in diagnosing gastric bezoar and is easily accepted by patients,so it may be acted as one of the principal examinations.

关 键 词：胃结石 X-线钡餐检查 

分 类 号：R573.8[医药卫生—消化系统]