中国实用外科杂志

中国实用外科杂志

• 论著 • 上一篇    下一篇

全消化道钡餐及钡滞留X线片诊断肠神经元性疾病临床价值研究

李晓刚，陈志丹，杜明国，陶正贵，廖晓峰   

  1. 襄阳学院附属医院  襄阳市中心医院普外三科，湖北襄阳441021
  • 发布日期:2012-04-26

  • Published:2012-04-26

摘要：

目的    探讨全消化道钡餐及钡滞留X线片在便秘、以肠神经元异常为代表疾病中的价值及临床意义。方法    回顾性分析襄阳市中心医院2007年6月至2011年10月收治的36 例疑为肠神经元异常性便秘病人的全消化道钡餐及钡滞留X线片资料。 结果    30例为手术、手术后病检确诊为先天性巨结肠、巨结肠同源病及巨结肠并巨结肠同源病提供支持。6例未能诊断为肠神经元异常性疾病。结论    全消化道钡餐及钡分时段滞留X线片，可为肠神经元异常便秘性疾病提供重要诊断参考，并具有胃肠传输功能与胃肠生理、病理形态兼顾优势。至少是对该类疾病诊断困难的一个补充。

关键词: 全消化道钡餐, 钡滞留X线片, 肠神经元异常

Abstract:

Application of whole gastrointestinal barium meal and multistage barium remains X-ray in the diagnosis of the intestinal neuronal dysplasia diseases: an analysis of 36 cases        LI Xiao-gang，CHEN Zhi-dan，DU Ming-guo，et al. 3rd Department of General Surgery, Xiangyang Central Hospital , Xiangyang 441021, China
Corresponding author:LIAO Xiao-feng, E-mail: wdxg@163.com
Abstract    Objective    To discuss the value and clinical significance of whole gastrointestinal barium meal and multistage barium remains X-ray in the diagnosis of the intestinal neuronal dysplasia diseases. Methods    The clinical data of 36 cases of whole gastrointestinal barium meal and multistage barium remains X-rays of suspected intestinal neuronal abnormalities in patients with constipation were analyzed retrospectively from June 2007 to October 2011 in Xiangyang Central Hospital. Results    Thirty cases were confirmed as congenital megacolon, Hirschsprung disease and congenital megacolon homologous and homologous Hirschsprung disease by surgery and pathological examination, which supported by the X-rays’ diagnosis. Conclusion    The whole gastrointestinal barium meal and multistage barium remains X-ray could provide important criterion for diagnosis of the intestinal neuronal dysplasia diseases, and had the advantages that could both reflect the function of gastrointestinal transit and morphology of gastrointestinal physiology, pathology. At least, it could be a supplement in diagnosing the diseases.

Key words: whole gastrointestinal barium meal, multistage barium remains X-ray, intestinal neuronal dasplasia