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目的初步探讨儿童胃黏膜脱垂症的X线表现特征。资料与方法回顾性分析9例儿童胃黏膜脱垂症的上消化道造影表现。结果胃影增大7例,胃蠕动波弱、少8例。幽门管内见条形黏膜皱襞越过幽门环进入十二指肠球部9例。十二指肠球基底部压迹:单弧状2例,双弧状1例,多弧状或伞边样5例;2例先天性肥厚性幽门狭窄术后患儿中,1例未见球基底部压迹,1例压迹位于幽门管一侧。结论当X线上消化道造影发现胃黏膜纹通过幽门进入十二指肠球部和/或十二指肠球基底部充盈缺损为胃黏膜皱襞所致时,应考虑儿童胃黏膜脱垂症。
Objective To investigate the X-ray features of gastric mucosal prolapse in children. Materials and Methods Retrospective analysis of 9 cases of children with gastric mucosal prolapse of the upper gastrointestinal imaging. Results stomach shadow increased in 7 cases, gastric motility weak, less 8 cases. See pyloric mucosal folds in the pyloric ring across the pylorus ring into the duodenal bulb in 9 cases. Duodenal pressure at the base of the foot: single arc in 2 cases, double arc in 1 case, multi-arc or umbrella side in 5 cases; 2 cases of congenital hypertrophic pyloric stenosis in children, 1 case did not see the base of the ball Pressure trace, one case of pressure trace located in the side of the pyloric tube. Conclusions Gastric mucosal prolapse in children should be considered when gastric mucosal pattern is found to enter the duodenal bulb through the pylorus and / or the filling defect at the base of the duodenal bulb is caused by folds of the gastric mucosa on X-ray.