食管病变数字成像动态观察(附3300例报告)

Dynamic observation on the esophageal disease of 3300 cases by digital image

目的 探讨数字连续性点片对食管病变诊断的价值。方法 使用数字连续点片，以每秒2～4帧的速度，对3300例患者采用3种体位食管造影检查。结果 3300例中，X线影像显示正常1628例，食管炎948例，食管裂孔疝92例，食管静脉曲张102例，食管癌214例，胃底贲门癌180例，食管憩室96例，贲门痉挛16例，食管平滑肌瘤6例，双位癌4例。食管溃疡10例，食管息肉2例，Barrett食管2例。结论 通过这种方法可以动态地观察食管的运动过程，极大提高了食管病变的检出率。

Objective To investigate the importance of digital sequent point radiograph to early diagnosis of the esophageal diseases. Methods 3 300 patients with esophageal disease were examined by taking the digital sequent point radiograph at the speed of 2-4 images per second and adopting three postures. Results Among 3 300 cases, there were 1 628 cases with normal; 948 cases with esophagitis; 92 cases with esophageal hiatus hernia; 102 cases with esophageal varices; 214 cases with carcinoma; 180 cases with cardioesophageal cancer; 96 cases with esophageal diverticulosis; 16 cases with cardiochalasia; 6 eases with leiomyoma; 4 cases with di position cancer; 10 cases with ulcer; 2 case with ployp; 2 cases with Barrett＇s esophagus etc. Conclusion Moving pro cedure of esophagus is dynamically observed by the method of sequent point radiography. This method can greatly improve the accuracy of diagnosis to the esophageal disease.