上消化道钡餐造影检查导致误诊的原因分析与探讨

Analysis and Discussion on Causes to Misdiagnosis by Upper Gastrointestinal Barium Meal Examination

目的:分析上消化道钡餐造影检查误诊结果的原因,探讨其有效的改进方法。材料与方法:回顾性的阅读了812例上消化道钡餐造影检查患者的X线平片。其中有416例在此检查后不久进行了胃镜检查,将上消化道造影检查结果与胃镜检查结果进行比较,分析总结了上消化道造影的不足及改进之处。结果:在进行上消化道造影及胃镜检查的416例患者中,两者检查结果一致者为364例,两者检查结果不一致者为52例,造影检查与胃镜检查结果符合率为87.5%。结论:通过分析上消化道造影检查与胃镜检查结果差异的原因,探讨上消化道造影检查中存在的问题及提高准确率的有效方法。

Purpose:To investigate the causes leading to misdiagnosis by upper gastrointestinal barium meal examination and possible corrective measures to avoid it.Materials and Methods:X-ray photographs of 812 cases of upper gastrointestinal barium meal examination were reviewed,among which,416 were taken gastroscopy afterward.Here we compared the diagnostic results of these two diagnostic methods and discussed the insufficiency of upper gastrointestinal barium meal examination and possible measures to d improvement it.Results:Among the 416 cases which were taken both upper gastrointestinal barium meal examination and gastroscopy,364 had the same diagnostic results,52 being in consistent.The coincidence rate is 87.5%.Conclusion:The possible causes that lead to the inconsistent diagnostic results by digestive tract radiography inspection and gastroscopy were analyzed,the insufficiency of the former was discussed,and feasible means were suggested to improve its accuracy.