婴儿肥厚性幽门狭窄的X线诊断(附30例报告)

Roentgenodiagnosis of infantile hypertrophic pyloric stenosis

目的探讨婴儿肥厚性幽门狭窄的X线诊断及X线表现的有关病理基础。方法回顾性分析经手术证实的30例婴儿肥厚性幽门狭窄的X线征象及其临床表现。结果X线检查证实,30例患儿中有胃扩张26例,胃排空延迟30例,胃食管反流22例,"线样征"24例,"双轨征"18例,"鸟嘴征"25例,"肩样征"21例,"蕈伞征"17例。多数患儿有4种以上征象并存。结论幽门管细长和环肌肥大压迫征象是诊断本病的可靠征象。

Objective To study the roentgenodiagnosis of infantile hypertrophic pyloric stenosis（IHPS）and to discuss the correlative pathologic basis. Methods X - ray findings and clinical manifestations of 30 patients with sugically proved IHPS were analyzed retrospectively. Results X - ray examinations demonstrated that, there were 26 gastric dilatation, 30 gastric emptying delay, 22 gastric - esophageal backflow, 24 linear sign, 18 double linear sign, 25 bird - mouth sign, 21 shoulder -form sign, and 17 parachute -form sign in 30 cases. Conclusion The thinning and prolonging of the pyloric tubes and the hypertrophy and compression of the pyloric cyclic musculi are reliable signs for diagnosing IHPS.