食管裂孔疝的内镜诊断价值

Value of endoscopy in diagnosis of hiatus hernia

摘要: 目的:探讨内镜对食管裂孔疝(hiatus hernia,HH)的诊断价值及鉴别方法。方法:分析112例HH患者的内镜特点、X线造影检查结果与内镜诊断的符合率及HH并发食管炎的百分率。结果:HH的主要内镜特征是齿状线上移,下方可见疝囊,食管裂孔压迹松弛、宽大。食管炎并发率高。结论:内镜对HH的诊断具有直观、清晰、方便的特点,是HH的有效检查方法。

Abstract: Objective: To assess the value of endoscopy in diagnosing and differentiating hiatus hernia(HH).Methods: The endoscopic characters of HH of 112 cases were analyzed and the results of the X-ray barium meal and the occurrence of esophagitis were calculated.Results: The major endoscopic features of HH were as follows:the GE conjunction was moved up;a portion of stomach could be seen to slide up with the loose,enlarged hiatus of diaphragm and was companied by high morbility of esophagitis.Conclusions: It is direct,clear and convenient to diagnose HH with endoscope.