摘要
目的探讨分析螺旋CT扫描对食管裂孔疝(EHH)的诊断价值。方法回顾分析2009年10月-2012年7月我院CT检查发现,其后经上消化道造影或胃镜、手术等确诊为EHH的患者20例,并分析其CT表现特征。结果 20例EHH患者螺旋CT扫描可清楚显示膈上疝囊的存在,表现为食管下端的管腔扩张或囊性、实性肿块影,并下端与胃腔相延续。其中表现为软组织团块影13例、囊性肿块影3例、管腔扩张改变4例。结论螺旋CT可以清楚显示EHH的膈上疝囊,是EHH的重要检查手段,是对不耐受上消化道造影或胃镜检查患者的重要补充检查方法。
Objective To investigate the diagnostic value of esophageal hiatal hernia （EHH） with spiral CT scan. Methods 20 patients with EHH from Oct. 2009 to Jul. 2012 in our hospital were analyzed which were diagnosed by CT scan and upper gastrointestinal barium examination, gastroscopy or operation. Results Spiral CT could clearly show hernia sac which continued with gastric cavity. In 20 cases, there were soft tissue mass in 13 cases, cystic mass in 3 ca- ses and esophagus lumen dilatation in 4 cases. Conclusion Spiral CT can show hernia sac clearly and play an impor- tant role in the diagnosis of EHH and provide an important supplementary examination for patients that intolerance of up- per gastrointestinal barium examination or gastroscopy.
出处
《胃肠病学和肝病学杂志》
CAS
2013年第4期330-332,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
食管裂孔疝
螺旋CT
诊断价值
Esophageal hiatal hernia （EHH）
Spiral CT
Diagnostic value
