| 全昌斌,贾树林,安东利,王君.不可复性食管裂孔疝——老年人心影后值得警惕的一种疾病[J].中国医学影像技术,1999,15(3):192~193 |
| 不可复性食管裂孔疝——老年人心影后值得警惕的一种疾病 |
| Irreducible Hiatus Hernia: A Disease Warning US Behind the Heart Shadow in the Aged |
| 投稿时间：1998-10-18 |
| DOI： |
| 中文关键词: 不可复性食管裂孔疝 胸部平片 钡餐 |
| 英文关键词:Irreducible hiatus hernia Chest film Barium meal |
| 基金项目: |
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| 中文摘要: |
| 目的探讨不可复性食管裂孔疝的X线诊断及鉴别诊断。方法对22例经食道钡餐证实的不可复性食管裂孔疝的X线资料进行分析。结果18例立位胸片或胸透示左膈上心影后有类圆形软组织影或含气液囊腔,该囊壁外缘光整、内缘可光滑或不平,进餐或打嗝后其形态与大小常有变化,临床表现轻微或缺如、与囊腔大小不符；22例食道钡餐示食管裂孔增宽,膈上见持续存在的胃疝囊。 |
| 英文摘要: |
| Purpose To evaluate the role of X ray in the aged with irreducible hiatus hernia.Methods 22 cases of irreducible hiatus hernia evaluated by plain film and gastrointestinal examination were restrospectively analysed.Results 18 cases showed the ball mass or sac with fluid level in the chest film or fluoroscopy behind the heart shadow.The outer border of the sac were smooth and sharply defined,the inner were well defined or poorly defined.The size of the sac and the fluid level often showed change after meal or belching.The symptoms of hiatus hernia did not correlate with the size of hernial sac.22 cases showed the dilated esophageal hiatus and the persisted appearance of the hernial sac of the stomach above the diaphragm after barium meal.Conclusion The key to the diagnosis is getting a deeper understanding and combination with clinical signs.The barium meal is a simple and accurate method to evaluate the irreducible hiatus hernia. |
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