钡灌肠双重造影诊断阑尾炎的应用分析

目的 分析钡灌肠双重造影对诊断阑尾炎的可行性.方法 对临床疑有阑尾炎的75例病人,采用造影前2 d流食,造影当日清洁肠道,用足量的钡剂快速注满右半结肠,辅以体位和加压促使阑尾显影.结果 75例中,阑尾炎X线征象典型者41例,21例阑尾部分显影,13例未显影.41例手术病人中X线确诊病例25例,占61.1%,阑尾部分显影X线提示可疑阑尾炎10例,占24.3%,6例X线不显影,未能做出X线诊断,占14.6%.结论 临床怀疑有阑尾炎的病人,可选择钡灌肠双重造影,其检查方法简单、安全且具有较高的诊断准确性.

Feasibility of barium enema double contrast examination for diagnosing appendicitis

Objective To determine the feasibility of barium enema double contrast examination for diagnosing appendicitis.Methods Seventy-five patients with clinically suspected appendicitis underwent barium enema double contrast examination.The procedure was performed with administration of liquid foods at two days before the enema and clearing of intestinal tract at the day of examination,subsequently,fastly filling into right half colon with sufficient barium agent and adopting the postural pressurization to impel the visualization of appendix.Results X-ray signs specific for appendicitis were found in 41 cases,partial visualization in 21,and non-abnormal in 13.Among 41 patients who underwent surgery of appendicitis,X-ray accurately diagnosed 25 cases(61.1%),suggestively diagnosed 10 cases (24.3%),and non-diagnosed 6 cases (14.6 %)for lack of X-ray signs of appendicitis.Conclusion For patients with clinically suspected appendicitis,barium enema double contrast examination should be a first selected means because it is a simple,safe,and highly accurate.