食管裂孔疝为老年人的常见疾病,特别是滑动性疝尤为多见。本文将老年组65例(60～83岁)与中青年组28例(24～44岁)做了对比分析,旨在探讨老年人滑动性食管裂孔疝的X线特征。结果显示:老年人滑动性食管裂孔疝的发病率为23.9％(65/272),较中青年人3.6％(28/776)明显增高,卡方检验,具有显著差异性。其X线表现典型,不论是疝囊的大小、食管胃环出现的机率,还是胃食管返流等,老年组皆较中青年组有极其重要的统计学意义。同 时对上消化道钡剂造影中发现的其它疾患亦做了讨论。 Hiatal hernia is a common disease in the elderly, especially the sliding hernia is more common. In this paper, 65 elderly patients (60-83 years old) and 28 cases of middle-aged and young patients (24-44 years old) were compared to analyze the X-ray features of elderly patients with sliding esophageal hiatal hernia. The results showed that the incidence of sliding hiatal hernia in the elderly was 23.9% (65/272), which was significantly higher than that of the middle-aged and young people (3.6% (28/776)). The chi-square test was significantly different. The X-ray typical, whether it is the size of the hernia sac, esophageal gastric ring appears the possibility of gastroesophageal reflux, etc., the elderly group than the young group has extremely important statistical significance. Other disorders found in upper gastrointestinal barium imaging were also discussed.