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目的研究成人先天性巨结肠症的X线表现。方法对6例患者作了钡灌肠检查,全部经手术证实。结果成人先天性巨结肠症主要的X线表现为直肠部可见3~7cm的局限性狭窄,其近端的结肠壁增厚、肠腔明显扩张,最宽达22cm,狭窄段和扩张段之间可见长2~6cm、呈圆锥或漏斗状逐渐扩张的移行段。2例合并有粪石形成。结论钡灌肠是术前诊断本病的最可靠和简便的方法。
Objective To study the X-ray findings of Hirschsprung’s disease in adults. Methods Six patients underwent barium enema examination, all confirmed by surgery. Results The main X-ray manifestations of Hirschsprung’s disease in adults were limited stenosis of 3 ~ 7cm in the rectum. The proximal wall of the colon was thickened and the intestine was obviously expanded with the widest of 22cm. Between the stenosis and the dilatation Can be seen long 2 ~ 6cm, was conical or funnel gradually expanding migration section. 2 cases combined with fecal formation. Conclusion Barium enema is the most reliable and convenient method to diagnose this disease before operation.