放射科三种方法诊断老年性食管裂孔疝的对比分析

Comparative analysis of three methods of radiology in the diagnosis of senile hiatal hernia

目的:分析C T扫描、胃肠钡餐、常规胸片三种方法诊断老年性食管裂孔疝的临床价值。方法:按照入院顺序随机抽取我院收治的40例老年性食管裂孔疝患者,对其分别进行CT扫描、胃肠钡餐、常规胸片检查,分析检查结果。结果:CT诊断阳性率与钡餐诊断阳性率差异不明显(P>0.05);CT诊断阳性率以及钡餐诊断阳性率均比常规胸片的高,差异显著(P<0.05),结论:老年性食管裂孔疝进行C T扫描、胃肠钡餐的诊断率较高,对于胃肠钡餐操作存在困难的患者,可进行CT扫描。

Objective To analyze the clinical value of three methods of CT scan, gastrointestinal barium meal and conventional chest radiography in the diagnosis of senile esophageal hiatal hernia. Methods Forty patients with senile esophageal hiatal hernia were randomly selected according to the order of admission. CT scan, gastrointestinal barium meal,conventional chest radiograph were performed and analyzed. Results The positive rate of CT diagnosis and positive rate of barium meal were not significantly different(P> 0.05). The positive rate of CT diagnosis and the positive rate of barium meal were significantly higher than those of conventional chest radiograph(P <0.05).Conclusion Hole hernia for CT scan,gastrointestinal barium meal diagnosis rate is high, for gastrointestinal barium meal operation difficult patients can be CT scan.