贲门开放的形态及临床意义

The form and clinical value of the opening gastric cardia

本文采用追加气量法低张双对比造影,比较正常、裂孔疝及贲门癌三组贲门开放的形态及临床意义。正常贲门口形态分为壶嘴型、隧道口型和喇叭口型,平均宽度为1.34±0.37cm,位于膈下3.16±1.28cm,有完整光滑的弧线影。裂孔疝组,22例中有7例贲门口位于膈下,贲门开放持续时间较长,平均宽度为2.01±0.63cm,距膈面1.93±0.70cm。贲门癌组,追加气量后贲门口不完全性或非对称性开放,平均宽度为0.81±0.38cm,距膈面3.44±0.46cm,弧线影中断或消失。

The gastric cardia forms were compared with the normal cardia, the hiatal hernia and cardiac carcinoma by the hypotonic double contrast radiography which effervescent, agent was increastd. The form of normal cardia was classified into three types: teapot mouth, tunnel opening and trumpet. The width of normal cardia was 1.34±0.37cm and the longth was 3.16±1.28cm. The normal cardia was smooth and connected are line. Seven of the 22 patirnts with hiatal hernia were under the diaphragm, the average width of cardia was 2.01±0.63cm and the longth was 1.93±0.70cm. The cardia of patients with earcinoma was Uncompletely opened when effervescent agent was increased, which average width was 0.81±0.38cm and the longth was 3.44±0.46cm. The arc line was destroyed and di(?)ted.