上消化道X线钡剂造影确诊难治性慢性胃炎的价值  

Value of Upper Gastrointestinal Barium Examination in Diagnosis of Refratory Chronic Gastritis

作　　者：王向阳[1] 杨瑜明[1] 刘展[1] 吴明浩[1] 李毅妮[1] 杨丽[1] 彭娅[1] 张渝[1] 

机构地区：[1]湖南省人民医院消化内科,长沙410005

出　　处：《临床误诊误治》2015年第5期26-28,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨上消化道X线钡剂造影检查在发现慢性胃炎病因中的作用。方法回顾分析2010年9月—2014年9月我院收治的初步诊断为慢性胃炎,但经上消化道X线钡剂造影检查证实为其他疾病57例的临床资料。结果本组均因腹痛、腹胀、嗳气、反酸、恶心及呕吐等症状就诊,根据临床症状及胃镜、病理等检查,均诊断为慢性胃炎,予相应治疗症状不缓解或加重。后经上消化道X线钡剂造影检查确诊为胃下垂41例,十二指肠壅积症14例,瀑布型胃及肠旋转不良各1例。根据相应疾病调整治疗方案,57例病情均得到缓解。结论临床上对长期按慢性胃炎治疗效果不佳的患者,上消化道X线钡剂造影检查应作为一项必要检查,以排除其他疾病。胃镜不能替代上消化道X线钡剂造影检查。Objective To investigate the effect of upper gastrointestinal barium detection on the cause of chronic gastritis. Methods A retrospective review was carried out on 57 patients admitted to our hospital during September 2010 and September 2014, who were provisionally diagnosed as chronic gastritis, but later confirmed as other diseases by upper gastroin-testinal barium examination. Results The main symptoms were abdominal pain, abdominal distension, belching, reflux, nausea and vomiting. All the patients were provisionally diagnosed as chronic gastritis according to the clinical symptoms, the results of gastroscopy and biopsy. However, they did not respond well to treatment. According to the upper gastrointestinal barium examination, they were definitely diagnosed as other diseases. 41 cases were eventually diagnosed as gastroptosis, 14 cases as duodenal stasis, 1 case as cascade stomach, 1 case intestinal malrotation. All the patients＆#39; condition improved after adjustment to the corresponding treatment was made. Conclusion Gastroscopy can not replace upper gastrointestinal barium examination. For refractory chronic gastritis, upper gastrointestinal barium examination is necessary to rule out the possibility of other diseases.

关 键 词：胃肠道造影术 胃下垂 十二指肠壅积症 瀑布型胃 肠旋转不良 误诊 胃炎 

分 类 号：R573.3[医药卫生—消化系统]