中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
1期
14-17
,共4页
胃食管反流%诊断%钡餐造影
胃食管反流%診斷%鋇餐造影
위식관반류%진단%패찬조영
Gastroesophageal reflux%Diagnosis%Barium meal
目的 探讨上消化道造影对胃食管反流病(GERD)的诊断价值.方法 回顾性分析2003年1月至2012年12月上消化道造影对GERD的检出率,不同性别及年龄间的差异.总结2012年454例患者反流程度及反流体位,并探讨患者年龄与反流程度、反流症状的关系.结果 2003年1月至2012年12月GERD检出率为13.48％(2 743/20 353),GERD检出率有逐年增加的趋势.男性与女性GERD检出率比较差异无统计学意义[13.73％(1 312/9 554)比13.25％(1 431/10 799),P＞0.05].随着年龄的增加GERD检出率逐渐增高[≤30岁为6.87％(197/2 866),31 ～ 60岁为11.63％(1 096/9 421),≥61岁为17.98％(1 450/8 066)],差异有统计学意义(P＜0.05).2012年454例GERD患者的反流程度为轻度242例,中度110例,重度102例.随着年龄的增加,反流程度加重[≤30岁重度反流占10.26％(4/39),31～ 60岁占17.92％(38/212),≥61岁占29.56％(60/203)],差异有统计学意义(P＜0.05).左前斜位反流占95.37％(433/454).结论 上消化道造影可直观显示钡剂的反流、反流程度及反流体位,方法简单实用,可用于GERD的诊断.上消化道造影时应注意卧位变换体位观察,可提高GERD检出率.
目的 探討上消化道造影對胃食管反流病(GERD)的診斷價值.方法 迴顧性分析2003年1月至2012年12月上消化道造影對GERD的檢齣率,不同性彆及年齡間的差異.總結2012年454例患者反流程度及反流體位,併探討患者年齡與反流程度、反流癥狀的關繫.結果 2003年1月至2012年12月GERD檢齣率為13.48％(2 743/20 353),GERD檢齣率有逐年增加的趨勢.男性與女性GERD檢齣率比較差異無統計學意義[13.73％(1 312/9 554)比13.25％(1 431/10 799),P＞0.05].隨著年齡的增加GERD檢齣率逐漸增高[≤30歲為6.87％(197/2 866),31 ～ 60歲為11.63％(1 096/9 421),≥61歲為17.98％(1 450/8 066)],差異有統計學意義(P＜0.05).2012年454例GERD患者的反流程度為輕度242例,中度110例,重度102例.隨著年齡的增加,反流程度加重[≤30歲重度反流佔10.26％(4/39),31～ 60歲佔17.92％(38/212),≥61歲佔29.56％(60/203)],差異有統計學意義(P＜0.05).左前斜位反流佔95.37％(433/454).結論 上消化道造影可直觀顯示鋇劑的反流、反流程度及反流體位,方法簡單實用,可用于GERD的診斷.上消化道造影時應註意臥位變換體位觀察,可提高GERD檢齣率.
목적 탐토상소화도조영대위식관반류병(GERD)적진단개치.방법 회고성분석2003년1월지2012년12월상소화도조영대GERD적검출솔,불동성별급년령간적차이.총결2012년454례환자반류정도급반류체위,병탐토환자년령여반류정도、반류증상적관계.결과 2003년1월지2012년12월GERD검출솔위13.48％(2 743/20 353),GERD검출솔유축년증가적추세.남성여녀성GERD검출솔비교차이무통계학의의[13.73％(1 312/9 554)비13.25％(1 431/10 799),P＞0.05].수착년령적증가GERD검출솔축점증고[≤30세위6.87％(197/2 866),31 ～ 60세위11.63％(1 096/9 421),≥61세위17.98％(1 450/8 066)],차이유통계학의의(P＜0.05).2012년454례GERD환자적반류정도위경도242례,중도110례,중도102례.수착년령적증가,반류정도가중[≤30세중도반류점10.26％(4/39),31～ 60세점17.92％(38/212),≥61세점29.56％(60/203)],차이유통계학의의(P＜0.05).좌전사위반류점95.37％(433/454).결론 상소화도조영가직관현시패제적반류、반류정도급반류체위,방법간단실용,가용우GERD적진단.상소화도조영시응주의와위변환체위관찰,가제고GERD검출솔.
Objective To explore the diagnostic value of barium meal in gastroesophageal reflux disease(GERD).Methods The data of patients who performed barium meal from January 2003 to December 2012 were retrospectively analyzed,and the GERD detection rate and its relationship with gender and age were calculated and compared.The degree and position of reflux during barium meal in 454 patients in 2012 and the relationship between age and degree and symptom of reflux were studied.Results The GERD detection rate was 13.48％(2 743/20 353) from January 2003 to December 2012,and increased by years.The GERD detection rate in male and female were 13.73％(1 312/9 554) and 13.25％(1 431/10 799) respectively,and there was no significant difference (P ＞ 0.05).With the increase of age,the GERD detection rate increased aslo.In patients of age ≤30 years,31-60 years and ≥61 years,the GERD detection rate were 6.87％ (197/2 866),11.63％(1 096/9 421) and 17.98％(1 450/8 066) respectively,and there was significant difference (P ＜ 0.05).The mild reflux accounted for 242 cases,the moderate reflux accounted for 110 cases,and the severe reflux accounted for 102 cases in patients with GERD in 2012,and there was also an aggravating reflux degree with the increase of age.In patients ≤30 years,31-60 years and ≥61 years,the reflux degree were 10.26％(4/39),17.92％(38/212) and 29.56％(60/203) respectively (P ＜ 0.05).The position with left anterior oblique was most often,accounting for 95.37％(433/454).Conclusions Barium meal can be directly observed,and evaluate the degree of reflux and position.Barium meal is simple and intuitive,and can be used as one of GERD diagnostic methods.
