36例钡餐与胃镜检查诊断消化性溃疡的比较分析

Comparative analysis between barium meal test and gastroscopy in 36 patients with upper gastrointestinal peptic ulcer:

目的探讨在目前广泛应用纤维胃镜作为消化性溃疡主要检查手段情况下,上消化道气钡双重造影在消化性溃疡诊断方面的临床应用价值。方法本组36例临床拟诊消化性溃疡的患者,均先行上消化道气钡双重造影检查。然后行纤维胃镜检查和病检。结果36例患者中经上消化道气钡双重造影检查出消化性溃疡30例(83%),其中恶性溃疡2例。经纤维胃镜检查出消化性溃疡33例(92%),其中恶性溃疡2例。经统计分析,两种检查手段对消化性溃疡的检出率无统计学差异(p>0.05)。结论虽然目前纤维胃镜已普遍成为各医院消化性溃疡的主要检查手段,但上消化道气钡双重造影作为消化性溃疡的一种有效检查手段仍有其不可替代的作用。

Objective To compare the accuracy of barium meal test and gastroscopy in the diagnosis of upper gastrointestinal peptic ulcer (UGIPU).Methods Thirty-six patients with clinically diagnosed UGIPU underwent upper gastrointestinal air-barium double contrast examinations(UGIABDCE) and subsequent gastroscopy.The detective rate of the UGIPU in 36 cases by above two methods was calculated and compared with pathology.Results Among 36 cases,UGIABDCE detected 30 cases of peptic ulcers(83 %),of them,2 cases were malignant ulcers,gastroscopy detected 33 cases of peptic ulcers(92 %),of them,2 cases were malignant ulcers.The statistic analysis shown that there was not significant difference between the both methods(P >0.05).Conclusion Although the fibre gastroscope has become a main tool for UGIPU,however,UGIABDCE still is an effective means and it can be taken as an additional examination.