论文部分内容阅读
目的探讨小儿胃食管返流(gastroesophageal reflux,GER)的检查方法与X线表现,提高诊断水平。方法对132例GER患儿临床、X线进行回顾性分析。采用胃肠钡餐造影或与食管动态造影(35例)相结合诊断GER,并对儿童GER作X线分级。结果GERⅠ级29例,Ⅱ级58例,Ⅲ级21例,Ⅳ级15例,Ⅴ级9例。临床上,132例中102例有呕吐;其他合并症如食管炎27例,食管裂孔疝9例,先天性肥厚性幽门狭窄1例,胃炎、十二指肠球炎6例,胃排空延迟22例。结论X线胃肠造影或与食管动态造影(EDR)结合,能对GER直接作出诊断并作X线分级,检查接近生理状态,易为患儿接受,方法简单,为临床首选的检查手段。
Objective To investigate the examination methods and X-ray findings of gastroesophageal reflux (GER) in children and to improve the diagnostic level. Methods The clinical and X-ray findings of 132 GER children were retrospectively analyzed. Gastrointestinal barium meal angiography or esophageal dynamic contrast (35 cases) combined diagnosis of GER, and children with GER for X-ray grading. Results There were 29 cases of GERⅠ, 58 cases of Ⅱ, 21 cases of Ⅲ, 15 cases of Ⅳ and 9 cases of Ⅴ. Clinically, 102 cases of vomiting in 132 cases; other complications such as esophagitis in 27 cases, hiatal hernia in 9 cases, congenital hypertrophic pyloric stenosis in 1 case, gastritis, duodenal inflammation in 6 cases, delayed gastric emptying 22 cases. Conclusions X-ray gastrointestinal angiography or combined with dynamic esophageal imaging (EDR) can make a direct diagnosis of GER and X-ray grading, check close to the physiological state, easy for children to accept, the method is simple, the clinical examination for the preferred means.