X射线检查对食管裂孔疝的诊断价值

Values of X-ray examination in the diagnosis of hiatal hernia

目的探讨X射线检查对食管裂孔疝(h iatus hern ia,HH)的诊断价值。方法回顾性分析52例HH患者X射线征象。结果本组可恢复性食管裂孔疝36例(69.23%),不可恢复性食管裂孔疝共16例(30.77%);膈上疝囊征37例(71.15%),食管胃环征34例(65.38%),疝囊内出现胃黏膜皱襞33例(63.64%)。结论熟练掌握食管裂孔疝的X射线征象及可疑征象,并根据临床综合判断,能及时确诊病情。

Objective To investigate the X-ray examination, X-ray signs and diagnostic value of hiatal hernia （ HH ）. Methods A retrospective study of 52 cases of HH during January 2004 to January 2008 receiving the X-ray examination was conducted. Results There were 36 cases （69. 23% ） of recoverable hiatal hernia and 16 cases of nonrecoverable hiatal hernia （ 30. 77% ）. Signs of hernia sac on the diaphragm were found in 37 cases （71.15% ） ,signs of esophagus and stomach ring in 34 cases （65. 38% ） , and signs of gastric mucosal folds appeared in the hernia sac in 33 cases （63.64% ）. Conclusion It is conducive for a doctor who has an intimate knowledge of X-ray signs and suspicious signs of hiatus hernia to diagnose the disease timely and correctly on the basis of clinical and comprehensive judgments.