先天性肥厚性幽门狭窄的X线检查及诊断价值

Value of X-ray in diagnosis of congenital hypertrophic pyloric stenosis

目的:总结分析婴幼儿先天性肥厚性幽门狭窄的X线检查方法及其X线表现。方法:对2008年1月至2009年3月经手术、病理证实的肥厚性幽门狭窄20例患儿行X线检查。结果:胃扩张20例,胃排空延迟20例,胃食管反流8例,"线样征"20例,"双轨征"10例,"鸟嘴征"15例,"肩样征"8例,"蕈伞征"18例。结论:幽门管狭长和肥厚的幽门环肌压迫征是诊断本病的可靠征象。

Objective：To evaluate X-ray examination in diagnosis of congenital hypertrophic pyloric stenosis （CHPS）. Methods： Twenty cases with CHPS confirmed by surgery and histopathology in our hospital during 2008 to 2009 underwent X-ray examination, and the X-ray manifestation was analyzed retrospectively. Results：Stomach dilatation was observed in 20 cases, stomach emptypostpone in 20 cases and gastro-esophageal hernia in 8 cases. The ＂line＂ signs in 20 cases,the ＂double-track＂ signs in 10 cases,the ＂beak＂ signs in 10 cases, the ＂shoulder＂ signs in 15 cases and the ＂ umbrella＂ signs in 18 eases. Conclusions：Long and narrow pyloric tubes and compression of hypertrophic pyloric cycliemusculic are reliable signs for diagnosis of CHPS.