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1、气钡双重对比造影在消化道疾病诊断中的应用价值张富军杨东奎(解放军251医院放射科，河北张家口市075000)摘要：目的探讨气钡双重对比造影在消化道疾病诊断中的应用价值。方法收集我院2008年1月到6月间经消化道气钡双重对比造影检查阳性并经临床随访或手术证实的消化道疾病患者197例，对其影像学资料进行回顾性分析。结果197例中，源于粘膜的病变83例(包括炎症、肿瘤、溃疡)，源于粘膜下的病变24例(包括间质瘤、淋巴瘤、硬皮病)，以器官形态、结构、位置改变为主的病变38例(包括食管裂孔疝、腹股沟斜疝、憩室、肠旋转不良、巨结肠)，以器官
2、动力、功能改变为主的病变29例(包括食管功能紊乱、肠系膜压迫综合症、小肠功能紊乱、结肠过敏)，因管腔外因素的影响而引起的改变17例(包括食管移位、胃移位、小肠移位)，其它病变6例(包括食管纵隔瘘、直肠阴道瘘、食管异物、小肠蛔虫症)。结论气钡双重对比造影检查准备简单、操作方便、患者痛苦小、检查范围全面、诊断结论可靠，是消化道疾病首选的检查方法。关键词：气钡双重对比造影，消化道疾病，诊断价值Theapplicationvalueofaer-bariumsulphatedoublecontrastradiographindiagnos
3、isofdigestivetractdiseasesZhangFu-junYangdong-kuiThePLA251sthospital,radiologydepartment,Zhangjiakou,Hebei,075000[ABSTRACT]Purpose:Todiscusstheapplicationvalueofaer-bariumsulphatedoublecontrastradiographindigestivetractdiseasesdiagnosis.Method:Weanalyse197cases’image
4、sretrospectivelywhichhavepositiveperformanceinradiographandhavebeenclinicaldefinitedinourhospitalfromJanuarytoJune2008.Result:Inallthesecases,thereare83casesoriginfrommucousmembranewhichincludeinflammation,tumorandanabrosis,24casesoriginbelowmucousmembranewhichinclud
5、einterstitialoma,lymphomaandscleroderma,38casesmainlychangedintheshape,structureandpositionoforganswhichincludehiatushernia,Obliqueinguinalhernia,diverticulum,malrotationofintestineandmegacolon,29casesmainlychangedinthepowerandfunctionoforganswhichincludefunctionaldi
6、sorderofesophagus,mesentery-compressedsyndromefuntionaldisorderofsmallintestineandirritablecolon,17cases’performancecausedbythefactoroutsideintestinalcanalwhichincludemesenteryshift,stomatchshiftandsmallintestineshift,andothercaseswhichincludefistulabetweenesophagusa
7、ndmediastinum,rectovaginalfistula,foreignbodyinesophagusandsmallintestineascariasis.Conclusion:Aer-barimsulphatedoublecontrastradiographisthefirst-selectmethodtodiagnosisthedigestivetractdiseasesbecauseithasforteasfollow:convenient,easyprepared,lesspainful,large-scal
8、eexaminelimitandreliablediagnosis.[KEYWORDS]aer-briumsulphatedoublecontrastradiograph;digestivetractdisease;diagnosisvalue目前，有学者认为消
