无痛胃镜对食管裂孔疝的诊断价值  

The Value of diagnosis to Painless Gastroscopy for hiatal hernia

作　　者：戚士祥 汤海涛[2] 王可[1] 

机构地区：[1]霍邱县第一人民医院,安徽237400 [2]六安市人民医院,安徽237000

出　　处：《安徽卫生职业技术学院学报》2011年第3期45-46,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨无痛胃镜检查对食管裂孔疝(hiatal hernia HH)的临床诊断价值。方法:总结分析291例无痛胃镜检查结果,并与X线食道钡餐透视检查及普通胃镜检查结果对比分析。结果:291例患者诊断HH 6例,占所检患者2.06%,该6例患者于胃镜检查前或后均做X线钡餐造影检查,X线诊断均确诊为HH,符合率100%。同期9127例普通胃镜检查HH检出率为3.51%。其中69例于胃镜检查前或后做过X线食道钡餐透视检查,有43例X线诊断为HH,符合率为62.31%。结论:无痛胃镜检查能更直观、清晰的观察HH的特点及并发症,对于诊断HH具有重要价值。Objective：In order to evaluate the Value of diagnosis to Painless Gastroscopy for hiatal hernia（HH）.Methods：Analyzed the results of 291 cases painless gastroscopy of the last three years in our hospital,And comparative with esophageal barium meal X-ray fluoroscopy and general gastroscopy.Results： There are 6 cases of hiatal hernia in 291 patients,accounted for 2.06%.All of these 6 patients was diagnosed esophageal hiatal hernia by X-ray diagnosis and barium meal.Thus,the coincidence rate was 100%.The detection rate of esophageal hiatal hernia was 3.51% in 9127 patients by ordinary endoscopy over the same period,in which 43 cases in 69 cases was diagnosed esophageal hiatal hernia by X-ray diagnosis and barium meal.Thus,the coincidence rate was 62.31%.Conclusion： Painless gastroscopy can be more intuitive in the characteristics and complications of esophageal hiatal hernia observed clearly,There was considerable accuracy with Esophageal barium meal X-ray fluoroscopy.It was great value in diagnosis of esophageal hiatal hernia.

关 键 词：食管裂孔疝 无痛胃镜 价值 

分 类 号：R571[医药卫生—消化系统]