气钡双对比造影加水洗法诊断食管细小异物

目的探讨食管气钡双对比造影加饮水冲洗法在食管细小异物诊断中的应用价值。方法回顾总结了近几年来误食鱼刺患者178例的食管气钡双对比造影加饮水冲洗法的检查结果。结果食管气钡双对比造影发现异物45例,饮水冲洗后发现异物84例;未见异物的94例未作特殊处理,在回访1～7d后临床症状消失。结论食管气钡双对比造影加饮水冲洗法不仅能确定食管有无异物,并能明确食管异物的大小、位置及刺入方向,为临床治疗提供重要的参考依据,是食管细小异物有效、安全的检查方法。

The air-barium double contrast fluoroscopy examination plus Hydroposia irrigation in the diagnosis of leptos foreign body in the esophagus

Objective To investigate the value of the esophagus air-barium double contrast fluoroscopy examination plus the hydroposia irrigation in the diagnosis of leptos foreign body in esophagus.Method The consequences of 178 cases with leptos foreign body(fishbone) in the esophagus who underwent esophagus air-barium double contrast fluoroscopy examination and hydroposia irrigation in recently years(i.e 2000-2007) were reviewed and summarized.Result Forty-five cases with foreign body in the esophagus were showed by air-barium double contrast fluoroscopy examination,84 cases were showed after hydroposia irrigation;the symptoms of the 94 patients,whose foreign body could not be showed,were disappeared 1-7 days later by telephone follow-up.Conclusion The esophagus air-barium double fluoroscopy contrast examination and the hydroposia irrigation can not only make locations and characters of foreign bodies to be confirmed,but also provide information of their sizes,localizations and directions.The radiographic method is efficacious and safe to leptos foreign body in the esophagus.