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小肠X线检查的价值是提供小肠形态和粘膜异常的资料,正确诊断取决于好的检查技术,传统的钡餐追随检查法对于小肠病变容易忽视,因其钡剂到达小肠时水份吸收一部分,只能呈现部分小肠粘膜影像,加之钡剂通过小肠下段时,上段小肠钡剂易堆积,这样就使小肠一些早期微小病变容易疏漏。如果采用上消化道插管法检查小肠,由于繁锁,费时,手续复杂,又使一些病人难于接受。所以,我们根据上述原因,从1993年元月至1994年6月改用双向低张小肠钡餐双对比造影,观察50例,提高了小肠病变的早期诊断,给病人提供了早期治疗的机会。现将临床操作方法及体会报告如下:
The value of small bowel X-ray examination is to provide information on small intestine morphology and mucosal abnormalities, the correct diagnosis depends on good examination techniques, the traditional barium meal follow-up examination for small intestinal lesions easily overlooked, because the barium reaches the intestine when the water absorption part Can show some small intestinal mucosa, combined with barium through the lower part of the small intestine, the upper intestinal barium easy to accumulate, so that some of the early small intestinal lesions easy to omissions. If the use of upper gastrointestinal intubation check the small intestine, due to cumbersome, time-consuming, complicated procedures, but also make some patients difficult to accept. Therefore, we based on the above reasons, from January 1993 to June 1994 switch to two-way low contrast small bowel double contrast barium meal observed 50 cases, improve the early diagnosis of small bowel disease, to provide patients with early treatment opportunities. Now clinical practice and experience report as follows: