目的　改进食管裂孔疝的X线检查方法 ,提高对其检出率。方法　对 110例拟诊食管裂孔疝的患者分别采用 :①常规X线钡餐检查 ;②改良法 :即服双倍量产气粉 ,大剂量钡剂及配合Valsalva试验等。对两种检查方法进行对比。结果　两种方法对食管裂孔疝的检出率分别为 30 %和 5 4.5 % ,差别显著。结论　改良法是检出食管裂孔疝的较好方法。 Objective To improve the X-ray examination of hiatal hernia and improve its detection rate. Methods 110 patients with suspected hiatal hernia were used: ① routine X-ray barium meal examination; ② improved method: that is, double-dose gas powder, high-dose barium and Valsalva test. Comparison of the two methods of inspection. Results The detection rates of hiatal hernia in two methods were 30% and 54.5% respectively, with significant difference. Conclusion Improved method is a better way to detect hiatal hernia of esophagus.