经腹超声对贲门失弛缓症的诊断价值

目的探讨应用经腹超声对贲门失弛缓症(Achalasia,AC)的诊断价值.方法对经临床、钡餐造影、内镜及食管测压检查确诊的15例贲门失弛缓症患者贲门及下段食管经腹超声表现进行观察分析,并与正常组进行对照.结果与正常组相比,贲门失弛缓症患者贲门及下段食管的宽度,长度和壁厚差异显著(P<0.01).结论经腹超声可对绝大多数的贲门失弛缓症做出明确诊断.可作为随访观察及筛检贲门失弛缓症的首选方法.

Diagnostic Value of Ultrasonography in achalasia

Objective To explore the diagnostic value of achalasia via transabdominal ultrasonography.Methods Fifteen patients with achalasia diagnosed by clinical features,berium radiography,endoscopy and esophageal manometry,conventional transabdominal ultrasound of cardia and lower esophagus were examined,demonstrated and compared with 20 normal volunteers.The measured width,length and wall thickness of the cardia and lower esophagus of the patients were compared with those in the normal group.Results There was significant difference in the width,length and wall thickness in achalasia patients from those in the normal group( P <0 01).Conclusions Most cases with achalasia can be diagnosed via transabdominal ultrasonography which can be used as the best way to monitor the dilated degree of the oesophagus and to be the first choice for screening achalasia.