钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中的诊断价值

Diagnostic value of gastrointestinal barium meal retention abdominal radiography in slow transit and outlet obstruction constipation

目的探讨钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中的诊断价值和临床意义。方法回顾性分析95例克利夫兰(Wexner)便秘评分量表评为中、重度便秘病人的钡餐滞留腹部X线片影像资料。结果通过观察肠管钡剂滞留的时间及形态,发现91.6%以上的病人检查报告提示右半结肠活动正常或亢进,横结肠冗长。结肠脾曲、降结肠及其以远出现排空障碍,传输时间明显延长,伴有结肠黏膜皱襞缺失或僵硬。结论钡餐滞留腹部拍片在慢传输及出口梗阻型便秘中具有重要诊断价值,对临床针对病因治疗有重要的指导意义。

Objective To investigate the diagnostic value and clinical significance of gastrointestinal barium meal retention abdominal radiography in slow transit and outlet obstructive constipation.Methods The X-ray data of gastrointestinal barium meal retention abdomen in 95 patients with moderate and severe constipation rated by Cleveland constipation scale were analyzed retrospectively.Results By observing the morphology of the intestine and the retention time of barium, it was found that more than 91.6% of the patients reported that the activity of the right colon was hyperactive or normal, the transverse colon was long, and the transit time of the descending colon and its distant emptying disorder was significantly prolonged.Accompanied by loss or stiffness of colonic bands and mucosal folds.Conclusion Abdominal radiography of gastrointestinal barium meal retention has important diagnostic value in slow transit and outlet obstructive constipation, and has important guiding significance for clinical treatment of etiology.