西甲硅油乳剂在上消化道气钡双重造影中的应用价值  

The application value of simethicone emulsion in upper gastrointestinal air-barium double contrast

作　　者：黄世廷 荣晓玲 张殿星 王道才 李春卫 田军 HUANG Shiting;RONG Xiaoling;ZHANG Dianxing;WANG Daocai;LI Chunwei;TIAN Jun(Department of Medical Imaging,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,P.R.China;Department of CT/MRI,Shandong Wendeng Osteopathic Hospital,Wendeng 264400,P.R.China)

机构地区：[1]山东第一医科大学附属省立医院医学影像科,山东济南250021 [2]山东省文登整骨医院CT/MRI室,山东文登264400

出　　处：《医学影像学杂志》2021年第7期1193-1195,共3页Journal of Medical Imaging

基　　金：山东省医药卫生科技发展计划项目(编号:2016WS0528)。

摘　　要：目的探讨西甲硅油乳剂在上消化道气钡双重造影中的应用价值。方法选取临床拟诊胃炎或健康查体拟行上消化道气钡双重造影检查者60例为观察对象,随机分配到A、B组中,A组在上消化道气钡双重造影的钡剂中添加10 ml纯净水,B组在钡剂中添加10ml西甲硅油乳剂,观察并记录A、B组胃腔内气泡的分布情况并评分。结果A组受检者胃腔内气泡出现率为100%,气泡占据胃腔透视野>2/3者2例,透视野1/3~2/3者11例,<1/3透视野者16例,胃腔内极少量气泡者1例。B组受检者胃腔内气泡出现率为20%,6例为胃腔内极少量气泡者,24例未见明显气泡。与A组相比,B组胃腔视野清晰度明显提升。A、B组评分结果显示,B组得分明显高于A组,A、B组间评分差异有统计学意义(P<0.001)。结论西甲硅油乳剂作为上消化道气钡双重造影中所使用钡剂的添加剂,消泡效果显著,提高了胃腔视野清晰度,有利于胃微小病变和早期肿瘤的诊断。Objective To explore the application value of simethicone emulsion in upper gastrointestinal air-barium double contrast.Methods Sixty patients with clinically suspected gastritis or a healthy physical examination who intend to perform upper gastrointestinal air-barium double contrast examination were selected as the research subjects,and they were randomly assigned to groups A and B.In group A,10 ml of purified water was added to the barium of upper gastrointestinal air-barium double contrast,and in group B,10 ml of simethicone emulsion was added to the barium.We observed and recorded the distribution of air bubbles in the gastric cavity of groups A and B and score them.Results In group A,the occurrence rate of air bubbles in the gastric cavity was 100%,2 cases had air bubbles occupying more than 2/3 of the gastric cavity fluoroscopy field,1/3~2/3 fluoroscopy field in 11 cases,16 cases with fluoroscopic field less than 1/3,1 case with very few air bubbles in the gastric cavity.In group B,the occurrence rate of air bubbles in the gastric cavity was 20%,6 cases had very few bubbles in the gastric cavity,and 24 cases had no obvious air bubbles.Compared with group A,the definition of gastric cavity visual field in group B was significantly improved.The scoring results of groups A and B showed that the score of group B was significantly higher than that of group A,and the difference in scores between groups A and B was statistically significant(P<0.001).Conclusion Simethicone emulsion is used as an additive for barium in upper gastrointestinal air-barium double contrast.It has a significant defoaming effect,improves the clarity of the gastric cavity,and is beneficial to the diagnosis of minimal gastric lesions and early tumors.

关 键 词：西甲硅油乳剂 X线检查 气钡双重造影 

分 类 号：R814.4[医药卫生—影像医学与核医学] R57[医药卫生—放射医学]