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目的:分析幽门管溃疡的临床及影像学表现。方法:回顾性分析16例经内镜及病例证实的幽门管溃疡患者的临床及影像学资料。结果:幽门溃疡患者年龄在45~50岁多见,缺乏典型消化性溃疡的疼痛特点,易合并幽门梗阻及消化道出血;消化道造影多显示为小点状或圆形龛影,周围多不伴有黏膜纠集,易合并幽门梗阻及胃潴留。结论:熟悉幽门管溃疡的临床表现,掌握龛影的特点,重视间接征象,采用合适的方法可以提高X线诊断。
Objective: To analyze the clinical and imaging findings of pyloric ulcer. Methods: The clinical and imaging data of 16 patients with pyloric ulcer confirmed by endoscopy and case were retrospectively analyzed. Results: The age of patients with pyloric ulcer is 45 to 50 years old, the lack of typical peptic ulcer pain characteristics, easy to merge pyloric obstruction and gastrointestinal bleeding; gastrointestinal angiography showed more punctate or circular niche shadow, surrounded by many Accompanied by mucosal collection, easy to merge pyloric obstruction and gastric retention. Conclusion: Familiar with the clinical manifestations of pyloric ulcer, grasp the characteristics of niche, pay attention to indirect signs, the use of appropriate methods can improve the X-ray diagnosis.