食管反流与反流性食管病的数字摄影诊断  

Digital Radiographic Diagnosis of Gastroesophageal Reflux and Reflux Esophagopathy

作　　者：强巍[1] 

机构地区：[1]江苏大学附属医院放射科,镇江212001

出　　处：《临床放射学杂志》2003年第B09期22-24,共3页Journal of Clinical Radiology

摘　　要：目的　探讨食管反流及反流性食管病的数字摄影诊断。资料与方法　对 4 2 8例可疑反流性食管病患者行直立、仰卧、俯卧位数字摄影术。分析胃食管反流的表现。结果　胃食管反流 82例 ,占 19.2 % ,包括单纯性反流 ,反流合并食管裂孔疝、食管炎、食管溃疡、癌、静脉曲张等。结论　胃食管反流的检出率取决于正确的影像形态学认识和检查方法 ,数字摄影能动态反映食管胃连接处的形态变化 ,特别是能对下食管括约肌 (LES)的功能作出评判。Objective To evaluate the digital radiographic diagnosis of gastroesophageal reflux and reflux esophagopathy.Materials and Methods Barium meal examinations on erect, supine, prone positions were performed in 428 patients of suspicious reflux esophagopathy, and then the imaging findings were analyzed. Results 82 patients (19.2%) were found gastroesophageal reflux including simple esophageal reflux, reflux complicated with esophageal hiatal hernia, esophagitis,esophageal ulcer, carcinoma and varices. Conclusion The detectablility of gastraesopageal reflux is dependent on the way of checking and the knowledge of imaging morphology. Digital radiography can dynamically display the variation of gastro-esophageal junction, especially be useful in assessment of the function of the lower esophageal sphincter (LES).

关 键 词：食管反流 反流性食管病 数字摄影术 诊断 下食管括约肌 

分 类 号：R816.5[医药卫生—放射医学]