中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2010年
3期
231-233
,共3页
王子干%许春梅%朱建常%周峰%岳静%张楠%毛艳谨%陈宝娟
王子榦%許春梅%硃建常%週峰%嶽靜%張楠%毛豔謹%陳寶娟
왕자간%허춘매%주건상%주봉%악정%장남%모염근%진보연
超声检查%孔疝,食管裂
超聲檢查%孔疝,食管裂
초성검사%공산,식관렬
Ultrasonography%Hernia,hiatal
目的 探讨经腹超声诊断中老年人非外伤性食管裂孔疝的临床床价值.方法 采用空腹及饮水胃充盈法,对32例患者进行半坐位或立位、仰卧位与仰卧右前斜位超声检查,并与X线钡餐造影、内镜检查或(和)手术对照.结果 滑动性食管裂孔疝29例,嵌入性疝3例,超声诊断符合率100%.声像图直接征象为膈肌食管裂孔增宽(≥1.37 cm)、膈上疝囊及疝囊中可见胃黏膜回声,三者显示率分别为100%、100%、15.6%.结论 经腹超声可简便、准确地诊断中老年人非外伤性食管裂孔疝.
目的 探討經腹超聲診斷中老年人非外傷性食管裂孔疝的臨床床價值.方法 採用空腹及飲水胃充盈法,對32例患者進行半坐位或立位、仰臥位與仰臥右前斜位超聲檢查,併與X線鋇餐造影、內鏡檢查或(和)手術對照.結果 滑動性食管裂孔疝29例,嵌入性疝3例,超聲診斷符閤率100%.聲像圖直接徵象為膈肌食管裂孔增寬(≥1.37 cm)、膈上疝囊及疝囊中可見胃黏膜迴聲,三者顯示率分彆為100%、100%、15.6%.結論 經腹超聲可簡便、準確地診斷中老年人非外傷性食管裂孔疝.
목적 탐토경복초성진단중노년인비외상성식관렬공산적림상상개치.방법 채용공복급음수위충영법,대32례환자진행반좌위혹립위、앙와위여앙와우전사위초성검사,병여X선패찬조영、내경검사혹(화)수술대조.결과 활동성식관렬공산29례,감입성산3례,초성진단부합솔100%.성상도직접정상위격기식관렬공증관(≥1.37 cm)、격상산낭급산낭중가견위점막회성,삼자현시솔분별위100%、100%、15.6%.결론 경복초성가간편、준학지진단중노년인비외상성식관렬공산.
Objective To discuss the clinical values of transabdominal ultrasonic diagnosis of nontraumatic hiatal gastric hernia of esophagus in middle-aged and elderly people.Methods Thirty-two cases were examined with fasting and filing methods in half-sitting,standing,supine and supine right anterior oblique positions.The findings were contrasted with X-ray barium meal examination,endoscopy and operation.Results Twenty-nine cases were of sliding hiatal gastric hernia of esophagus,3 of impacted hernia.The ultrasonic diagnosis coincidence rate was 100%.The signs and symtoms of acoustic images were widening of esophageal hiatus diaphragmatic muscle(≥1.37 cm),echoes of gastric mucosa were found in superior phrenic hernail sac and inside hernial sac.The display rates were 100%,100%,15.6%respectively.Conclusions The transabdominal ultrasonic diagnosis of nontraumatic hiatal gastric hernia of esophagus in middle-aged and elderly people is brief and accurate.
