胃食管反流病的影像学诊断方法  

Imaging diagnosis of gastroesophageal reflux disease

作　　者：刘晓菲[1] 赵绿洲 卢涛[1] LIU Xiaofei;ZHAO Lüzhou;LU Tao(Department of Radiology,the First Hospital of China Medical University,Shenyang 110001,China;Department of Radiology,Xi'an Tangxing Hospital,Xi'an 710086,China)

机构地区：[1]中国医科大学附属第一医院放射科,辽宁沈阳110001 [2]西安唐兴医院放射科,陕西西安710086

出　　处：《实用放射学杂志》2022年第4期590-591,607,共3页Journal of Practical Radiology

摘　　要：目的探讨胃食管反流病(GERD)的X线诊断价值.方法连续采集接受X检查的80例临床诊断为胃食管反流病患者,回顾性分析所有患者的临床及影像诊断资料.结果80例患者的食管内均发生不同程度的对比剂反流情况,其中63例为食管下段和贲门处黏膜紊乱,可见胃食管反流现象,占78.75%,阴性17例,占21.25%.3例胃镜检查诊断为食管下段憩室,食管裂孔疝1例,反流性食管炎10例,食管静脉曲张3例.结论在GERD的诊断中应用X线消化道造影可以取得较好的诊断效果,有助于对患者采取准确的治疗办法.Objective To investigate the value of X-ray diagnosis of gastroesophageal reflux disease(GERD).Methods Continuous acquisition 80 cases examined for X ray in our clinical diagnosis of GERD,all patients were retrospectively analyzed the clinical and imaging data.Results All the 80 patients had different degree of the contrast agent reflux in esophagus,63 patients had mucous disorder in the lower esophagus and cardia,gastroesophageal reflux was observed,accounting for 78.75%,negative in 17 cases,accounting for 21.25%.3 cases were diagnosed by gastroscopy as diverticulum in lower esophagus,hiatal hernia in 1 case,reflux esophagitis in 10 cases,and esophageal varices in 3 cases.Conclusion In the diagnosis of GERD,X-ray digestive tract imaging can achieve better diagnostic effect and help to take accurate treatment for patients.

关 键 词：胃食管反流病 放射摄影术 

分 类 号：R571[医药卫生—消化系统] R573[医药卫生—内科学] R814.41[医药卫生—临床医学]