先天性肥厚性幽门狭窄的X线检查及诊断价值

Value of X-ray in diagnosis of congenital hypertrophic pyloric stenosis

摘要: 目的:总结分析婴幼儿先天性肥厚性幽门狭窄的X线检查方法及其X线表现。方法:对2008年1月至2009年3月经手术、病理证实的肥厚性幽门狭窄20例患儿行X线检查。结果:胃扩张20例,胃排空延迟20例,胃食管反流8例,"线样征"20例,"双轨征"10例,"鸟嘴征"15例,"肩样征"8例,"蕈伞征"18例。结论:幽门管狭长和肥厚的幽门环肌压迫征是诊断本病的可靠征象。

Abstract: Objective: To evaluate X-ray examination in diagnosis of congenital hypertrophic pyloric stenosis(CHPS).Methods: Twenty cases with CHPS confirmed by surgery and histopathology in our hospital during 2008 to 2009 underwent X-ray examination,and the X-ray manifestation was analyzed retrospectively.Results: Stomach dilatation was observed in 20 cases,stomach emptypostpone in 20 cases and gastro-esophageal hernia in 8 cases.The "line" signs in 20 cases,the "double-track" signs in 10 cases,the "beak" signs in 10 cases,the "shoulder" signs in 15 cases and the "umbrella" signs in 18 cases.Conclusions: Long and narrow pyloric tubes and compression of hypertrophic pyloric cycliemusculic are reliable signs for diagnosis of CHPS.