食管炎的特殊X线表现

目的 探讨特殊X线表现的食管炎的特征。方法 对具有特殊X线征象的16例食管炎病例进行回顾性分析。结果 病变区黏膜皱襞毛糙、扭曲、断续有小颗粒状钡斑。正常食管壁轮廓消失。黏膜相示分界清楚，但不截然。食管呈持续性扩张状态或痉挛状态。腔内龛造影剂灌注后呈梳齿状影像为急性食管炎破裂造影剂漏入纵隔内。结论 病变区如果改变恒定短期复查是必要的，内窥镜检查、随访都有膈鉴别诊断及提高诊断准确率。

Special X-ray Appearance of Esophagitis (Analysis of 16 Cases)

Objective To study the features of special X Ray appearance with esophagitis. Methods The special X ray feature of 16 cases with esophagitis were analysed retrospectively. Results Coarse and twist imtermittently grained barium spots of mucous membrane folds in the disease area. Disappearance of normal esophageal contour. Clear but not sharp districtions in phase. Continuous expansion or spesm of esophagus. The comb's teeth appearance of niche inside cavity. Contrast agent leaked into the mediastinum because of the acute esophageal rupture. Conclusion When the appearance of disease area is constancy, it is necessary to be reexamined in a short perion, when necessity, endos cope and following up is helpful for the differential diagnosis ,which can increase the accurate rate.