胃石症的X线诊断分析  

X-ray diagnosis of gastrolithiasis

作　　者：刘兴国 LIU Xing-guo(Liubu Town Health Center,Licheng District,Jinan 250113,China)

机构地区：[1]济南市历城区柳埠镇卫生院,250113

出　　处：《中国实用医药》2025年第2期73-75,共3页China Practical Medicine

摘　　要：目的研究胃石症的X线诊断特点。方法择取50例胃石症患者,均接受X线诊断,以胃镜检查结果为金标准,分析X线检查的诊断结果。结果X线检查结果显示:50例患者均为植物性胃石,单发、多发例数分别为42、8例;胃石直径为3~14 cm;胃石表现为充盈缺损影,多为圆形、卵圆形,表面不光滑、不规则,显影密度不均匀;胃窦部充盈缺损团块嵌顿8例;合并食管炎、急慢性肥厚性胃炎、胃及十二指肠溃疡等疾病。结论X线检查是诊断胃石症的有效手段,但在作出诊断前应充分结合患者的病史、临床症状、饮食情况等进行综合考虑,以促进诊断准确性的提升。Objective To study the characteristics of X-ray in diagnosis of gastrolithiasis.Methods 50 patients with gastrolithiasis were selected and underwent X-ray diagnosis;the diagnostic results of X-ray was analyzed with the results of gastroscopy as the gold standard.Results X-ray results showed that all 50 patients were vegetative gastroliths,with 42 cases being single and 8 cases being multiple;the diameter of gastroliths ranged 3-14 cm;gastroliths manifested as filling defect shadows,which were mostly round and ovoid,with nonsmooth and irregular surfaces,and non-uniform density of the developed image;there were 8 cases of filling defect mass embedded in the gastric sinus;and there were cases of combining with esophagitis,acute and chronic hypertrophic gastritis,and gastric and duodenal ulcers,and other diseases.Conclusion X-ray is an effective means of diagnosing gastrolithiasis,but it should be fully integrated with the patient's medical history,clinical symptoms,and diet before making a diagnosis in order to promote the improvement of diagnostic accuracy.

关 键 词：胃石症 X线检查 诊断 

分 类 号：R816.5[医药卫生—放射医学] R573.8[医药卫生—临床医学]