论文部分内容阅读
目的 :探讨上消化道术后功能异常的原因、临床表现及影像学特点。方法 :对 80例临床怀疑上消化道术后功能异常的检查结果进行回顾性分析 ,X线检查以简化气钡双重造影为主 ,所有病例均经内窥镜或其它检查确认并追踪观察 3个月以上。结果 :除手术引起的胃肠结构改变外 ,胃肠钡餐还显示 :①胃肠张力降低、形态失常 ;②胃肠动力减弱 ,运动不协调 ;③中等量胃潴留 ,但液体排空正常 ;④胃肠位置呈中线性变化但无出口狭窄梗阻。结论 :功能异常是上消化道术后的常见病症 ,主要原因是迷走神经或交感神经径路损伤 ,X线检查以动力、张力、分泌及排空异常为特点 ,可籍此与器质性病变相鉴别 ,结合其它检查可予确诊
Objective: To investigate the causes, clinical manifestations and imaging features of dysfunctional upper gastrointestinal tract. Methods: 80 cases of clinical suspicion of upper gastrointestinal tract dysfunction after the test results were retrospectively analyzed, X-ray to simplify the double contrast barium-based, all cases were confirmed by endoscopy or other inspection and follow-up observation of 3 Month or more. Results: In addition to the changes of gastrointestinal structure caused by surgery, gastrointestinal barium meal also showed: ① reduced gastrointestinal tension, morphological abnormalities; ② decreased gastrointestinal motility, uncoordinated exercise; ③ moderate gastric retention, but normal fluid emptying; ④ Gastrointestinal position showed a linear change without obstruction of narrow export. Conclusions: Abnormal function is a common disease after upper gastrointestinal tract. The main reason is vagus nerve or sympathetic path injury. X-ray examination is characterized by abnormal motility, tension, secretion and evacuation, which can differentiate it from organic disease. Combined with other tests can be diagnosed