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目的探讨气钡双重造影在十二指肠球部微小溃疡(溃疡直径小于4 mm)检查中的应用价值。方法我院2014年1月—6月间经X线气钡双重造影明确诊断的50例十二指肠球部微小溃疡患者,对其X线表现征象进行回顾性分析。结果 50例十二指肠球部微小溃疡患者中,溃疡发生在后壁31例、前壁19例;溃疡直径2 mm 25例,3 mm 25例;6例经内镜验证,全部患者均经内科治疗后症状及体征消失;其中有8例患者疗程结束后经X线气钡双重造影复查溃疡愈合消失。结论 X线气钡双重造影是诊断十二指肠球部微小溃疡首选而有效的检查方法。
Objective To investigate the value of double contrast barium in the examination of ulcer in the duodenal ulcer (ulcer diameter less than 4 mm). Methods Fifty patients with duodenal ulcer diagnosed in our hospital from January 2014 to June 2014 were retrospectively analyzed. Results Among the 50 patients with duodenal ulcer, ulceration occurred in 31 cases of posterior wall and 19 cases of anterior wall. The ulcer diameter was 25 mm in 25 cases and 3 mm in 25 cases. All the 6 cases were verified by endoscopy. Symptoms and signs disappeared after medical treatment. Among them, 8 patients underwent double angiography and barium double angiography after the course of treatment, and ulcer healing disappeared. Conclusion X-ray double contrast barium is the first choice for the diagnosis of duodenal ulcer and effective screening method.