X线钡餐造影对婴幼儿期肥厚性幽门狭窄诊断价值的探讨

Exploration on Diagnostic Value for Infantile Hypertrophic Pyloric Stenosis （IHPS） by X-ray Barium Meal

目的：探讨X线钡餐造影诊断婴幼儿期肥厚性幽门狭窄（IHPS）的临床意义。方法：时40例患儿通过X线钡餐造影影像学诊断结果与手术结果对比，探讨X线钡餐造影对婴幼儿期肥厚性幽门狭窄诊断价值度。结果：40例患儿中X线钡餐造影诊断结果：34例先天性肥厚性幽门狭窄，2例胃食管返流，1例胃扭转，均与手术相符，诊断符合率100％。1例幽门痉挛，经临床保守治疗痊愈得到证实。2例幽门前瓣膜误诊为先天性肥厚性出门狭窄（2／40），误诊率5.0％，手术后得到证实。结论：X线钡餐造影是诊断IHPS的一种有价值的诊断方法。

Objective： To discuss the clinical value of X-ray barium meal to the diagnosis of IHPS. Methods： The X-ray barium meal radiography inspection results in 40 eases of IHPS confirmed by the surgery operations were compared. Results： 34 cases were found IHPS, 2 were gastro esophageal reflex disease and 1 was gastric volvulus, the diagnostic coincidence rates were 100% to all of these 37 cases. Besides, 1 ease of hyperkinesias of pylorus was found and then recovered after physical treatment. And 2 eases of prepyloric membrane which proved by operation were misdiagnosed as IHPS, so the rates of erroneous diagnosis were 5.0%. Conclusion. X-ray Barium Meal radiography inspection is valuable for the diagnosis of IHPS.