上消化道造影评估中老年胃食管反流病患者反流程度和反流体位的价值  

Value of upper gastrointestinal angiography in evaluating the degree and position of reflux in middle-aged and elderly patients with gastroesophageal reflux disease

作　　者：姚楠[1] 李炜 Yao Nan;Li Wei(Department of Interventional Radiology,the Second Afiliated Hospital of Xinxiang Medical College,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院放射介入科,河南新乡453002

出　　处：《临床医学》2025年第2期72-74,共3页Clinical Medicine

基　　金：河南省医学科技攻关计划省部共建项目(SBGJ202302096)。

摘　　要：目的 研究上消化道造影评估中老年胃食管反流病(GERD)患者反流程度和反流体位的价值。方法 回顾性分析2018年1月至2023年9月在新乡医学院第二附属医院放射介入科联合新乡市中心医院放射科接受胃食管反流病检查的100例中老年患者的临床资料。采用上消化道造影总结患者的反流程度和反流体位,讨论上消化道造影在中老年胃食管反流病反流程度和反流体位评估中的作用。结果 ①100例患者中阴性4例,中老年GERD患者96例,并见贲门口和食管下段黏膜功能紊乱。经胃镜检查诊断,伴反流性食管炎94例,伴食管静脉曲张2例,伴食管裂孔疝2例,伴食管下段憩室2例。②反流程度:轻度53例,中度25例,重度22例。③反流体位:右侧卧位检出72例,平卧位检出18例,左侧卧位检出10例。结论 上消化道造影可通过钡剂直观显示患者的反流程度,方法简单实用,可在临床用于GERD的诊断。同时行上消化道造影时应注意变换体位观察,可提高GERD检出率。Objectivee To study the value of upper gastrointestinal angiography in evaluating the degree and position of reflux in middle-aged and elderly patients with gastroesophageal reflux disease(GERD).Methods The clinical data of 100 middle-aged and elderly patients who received gastroesophageal reflux disease examination in the Radiological Interventional Department of the Second Affiliated Hospital of Xinxiang Medical College and the Radiological Department of Xinxiang Central Hospital from January 2018 to September 2023 were retrospectively analyzed.Upper gastrointestinal angiography was used to summarize the degree of reflux and position of reflux of patients,and the role of upper gastrointestinal angiography in evaluating the degree of reflux and reverse fluid level of GERD was discussed.Results ①Four patients out of 100 patients were negative.There were 96 patients with GERD,and the mucosal dysfunction of the proximal and lower esophagus was observed.After gastroscopy,94 cases were diagnosed with reflux esophagitis.There were 2 cases with esophageal varices.There were 2 cases with hiatal hernia.There were 2 cases with lower esophageal diverticulum.②Degree of regurgitation:the regurgitation degree of 100 CERD patients was mild,moderate,and severe in 53,25,and 22 cases,respectively.③Reverse fluid position:Right decubing position was 72 cases,supine position was 18cases and left decubing position was10cases.Conclusions Upper gastrointestinal angiography can visually display the degree of reflux in patients through barium agents.The method is simple and practical,and can be used in clinical diagnosis of CERD.At the same time,during upper gastrointestinal angiography,attention should be paid to observing the change of lying position,which can improve the detection rate of GERD.

关 键 词：上消化道造影 中老年胃食管反流病 反流程度 反流体位 

分 类 号：R571[医药卫生—消化系统]