X线检查对于食管裂孔疝的诊断价值分析

Analysis of diagnostic value of X-ray examination in hiatus hernia

目的探讨X线检查对于食管裂孔疝的诊断价值分析。方法选取2012年1月至2015年1月在我院就诊的食管裂孔疝患者16例,分别对其进行X射线检查和内镜检查,比较两种方法对于食管裂孔疝诊断的准确性。结果 16例患者中,有9例患者检查出具有可恢复性食管裂孔疝,其中有6例患者为挤压性疝,占比例31.57%、1例患者为牵引性疝,占比例的6.25%、1例患者患有食管裂孔旁疝,占比例的6.25%、1例患者患有先天性裂孔增宽导致疝气,占比例的6.25%,有7例患者患有不可恢复性食管裂孔疝,占总比例的43.75%,X射线检查方法检测出16例食管裂孔疝患者,内镜检查检测也检测出16例食管裂孔疝患者,两种检测方法对于疾病诊断结果的准确率为100%,两种检测方法正确率比较结果显示,P>0.05,差异不具有统计学意义。结论 X射线对于食管裂孔疝的诊断具有较好的患者依从性和较高的疾病诊断准确率。

Objective To analyze the diagnostic value of X-ray examination in hiatus hernia.Methods 16 patients with hiatus hernia treated from January 2012 to January 2015 in our hospital were selected.The patients would respectively adopted X-ray examination and endoscopic examination.The accuracy in the diagnosis ofhiatusherniabasedontwomethodswascompared.Results 9caseswereconfirmedwiththereduciblehiatus hernia including 6 cases of compressed hernia （31.57%）, 1 case of traction hernia （6.25%）, 1 case of paraesophageal hiatus hernia （6.25%） and 1 case of congenital hiatal hernia caused by widening cavity （6. 25%）.There were 7 cases of irreducible hiatus hernia （43.75%）.16 cases were confirmed with hiatus hernia based on X-ray examination and endoscopic examination.The diagnosis accuracy rate based on two methods was 100%（P〉0.05）.Conclusions During the diagnosis process of hiatus hernia, X-ray examination improves the patient＇s compliance and diagnosis accuracy rate.