低张气钡灌肠对十二指肠乳头旁憩室综合征的诊断价值探讨  

Investigation on diagnostic value of hypotonic barium enema in juxta-papillary duodenal diverticulum syndrome

作　　者：庄晓东[1] 

机构地区：[1]广东普宁华侨医院,515300

出　　处：《中国现代药物应用》2017年第20期19-20,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨低张气钡灌肠对十二指肠乳头旁憩室综合征的诊断价值。方法 48例十二指肠乳头旁憩室综合征患者为研究组,同期70例健康体检者为对照组。两组均行核磁共振成像(MRI)、低张气钡灌肠及螺旋CT检查。比较低张气钡灌肠、MRI、螺旋CT诊断敏感性、特异性及准确率。结果低张气钡灌肠检查十二指肠乳头旁憩室综合征的敏感性(95.83%)、特异性(90.00%)、准确率(92.37%)均高于MRI(37.50%、65.71%、54.24%)及螺旋CT(72.92%、60.00%、65.25%),差异均有统计学意义(P<0.05)。结论低张气钡灌肠对比MRI及螺旋CT于十二指肠乳头旁憩室综合征诊断方面,检出率较高,可辅助临床检查。Objective To investigate the diagnostic value of hypotonic barium enema in juxtapapillary duodenal diverticulum syndrome. Methods There were 45 juxta-papillary duodenal diverticulum syndrome patients as study group, and concurrent 70 physical examination people as control group. Both groups received magnetic resonance imaging（MRI）, hypotonic barium enema and spiral CT. Comparison were made on sensitivity, specificity and accuracy of hypotonic enema MRI and spiral CT. Results Hypotonic enema diagnostic examination had higher sensitivity（95.83%）, specificity（90.00%） and accuracy（92.37%） in diagnosis of juxta-papillary duodenal diverticulum syndrome than MRI（37.50%, 65.71% and 54.24%） and spiral CT（72.92%, 60.00% and 65.25%）, and their difference was statistically significant（P〈0.05）. Conclusion Compared with MRI and spinal CT, hypotonic barium enema provides higher detection rate in diagnosis of juxta-papillary duodenal diverticulum syndrome, and it can assist clinical examination.

关 键 词：低张气钡灌肠 十二指肠乳头旁憩室综合征 诊断价值 

分 类 号：R574[医药卫生—消化系统]