摘要
目的：分析研究新生儿和婴幼儿食管裂孔疝的Ｘ线诊断及其分型情况。材料与方法：１９８５年３月至１９９６年３月因呕吐较重、临床诊断不清的３天至３岁患儿经钡餐确诊此病者４１３例。结果：先将此病分为４型，再在型别后注明疝出部分特点及有何并发症。（１）巨大型疝（占１１．１４％），多数见全胃或部分胃疝至右膈上，个别见全胃疝至左膈上。（２）中型疝（占７．０２％），≥１／３胃疝至左膈上。（３）小型疝（占３７．７７％），＜１／３胃疝至左膈上。（４）柱状疝（占４４．０７％），胃食管交界部明显移至左膈上，但疝至膈上的部分不扩张成囊状。结论：此年龄组此病不罕见，本分型方法适合于临床实际应用。
Purpose:Tostudyandproposeanewclassificationforesophagealhiatalherniainneonatesandinfants.Materialsandmethods:FromMarch1985toMarch1996,bariummealexami-nationswereperformedinneonatesandinfantswithseverevomitingwithoutdefinitediagnosis.Alto-gether413caseswerediagnosedasesophagealhiatalhernia.Results:Accordingtothebariummealexamination,thisdiseasewasdividedinto4types.TypeⅠ,hugeherniation,11.14%,totalorpartofthestomachherniatedintotherightthoraxabovetherightdiaphragm.Inonlyasmalnumberofcasesthewholestomachwasherniatedintotheleftthorax.TypeⅡ,mediumsizedherniation,7.02%,onethirdofstomachherniatedabovethelefthemidiaphragm.TypeⅢ,smalherniation,37.77%,lessthanonethirdofstomachherniatedthroughtheleftdiaphragm.TypeⅣ,columnartype,44.07%,thegastro-esophagealjunctionwassituatedwelaboveleftdiaphragm,butnodilata-tionwasseen.Conclusion:Esophagealhiatalhernialisnotararediseaseduringthisagegroup.Thisclassificationisconsideredtobeadequateforclinicalpractice.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第10期663-668,共6页
Chinese Journal of Radiology
基金
卫生部科研基金
