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目的探讨成人先天性巨结肠的表现特点和X线诊断。方法对我院20例成人先天性巨结肠病患者行X线腹部平片与钡剂灌肠检查,分析X线腹部平片表现及钡灌肠X线表现。结果X线腹部平片下均可见肠管扩张;钡灌肠X线表现直肠部均有局限性狭窄,狭窄段上方肠腔均示不同程度扩张,痉挛段与扩张段之间肠腔呈漏斗状膨大,并移行至呈巨管状的结肠,6例出现钡剂潴留,部分患者的结肠上方肠腔内仍有因粪便积留形成的粪块影。有不全性肠梗阻征象。均未见溃疡等表现。结论钡灌肠检查是成人先天性巨结肠的一种较好的临床确诊方法,便于术前选择手术方法和制定手术方案。
Objective To investigate the characteristics of adult Hirschsprung’s disease and X-ray diagnosis. Methods Twenty adult Hirschsprung’s disease patients with Hirschsprung’s disease were examined by X-ray plain film and barium enema. The X-ray plain film and X-ray findings of barium enema were analyzed. The results of X-ray abdominal plain film showed intestinal dilatation; barium enema X-ray showed rectal limitations are limited to the upper part of the stenosis showed varying degrees of expansion of the intestine, spasticity and dilatation of the intestine was funnel-shaped bulging, And migrated to a large tubular colon, 6 patients showed retention of barium, some patients still have colon in the intestine due to the accumulation of fecal shadow. There are signs of incomplete intestinal obstruction. No ulcers and other performance. Conclusion Barium enema examination is a good clinical diagnosis of Hirschsprung’s disease in adults, to facilitate the preoperative selection of surgical methods and the development of surgical options.