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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16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、充气的肠管,Ⅰ型(常见型)8例,Ⅱ型(长段型)4例,Ⅲ型(短段型)2例,Ⅳ型(超短段型)2例;钡灌肠X线表现均见到扩张结肠,直肠部均有局限性狭窄,狭窄长度1.2cm～9.0cm,呈环形狭窄,呈不规则的锯齿状,钡灌肠压力增高时可使其被动扩张。狭窄段上方肠腔均示不同程度扩张。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。
Objective To investigate the characteristics of adult Hirschsprung’s disease and X-ray diagnosis. Methods 16 cases of adult patients with Hirschsprung ’s disease were examined by X - ray plain film and barium enema. The X - ray plain film and X - ray of barium enema were analyzed. Results Eight cases with type Ⅰ (common type), 4 type Ⅱ (long segment type), 2 type Ⅲ (short segment type), type Ⅳ (ultra-short type) Section type) 2 cases; barium enema X-ray showed the expansion of the colon, rectum have limitations of stenosis, stenosis length of 1.2cm ~ 9.0cm, was ring-shaped narrow, irregular sawtooth, barium enema pressure increases To passive expansion. Bowel above the narrow section showed varying degrees of expansion. Conclusion Barium enema examination is a better clinical diagnosis of Hirschsprung’s disease in adults.