摘要
目的探讨肠易激综合征(IBS)的X线影像表现特点及临床诊断价值。方法利用数字化胃肠机对1 080例有IBS临床表现的患者进行全消化道钡餐检查,并对其中317例单纯IBS的X线影像进行综合分析。结果1 080例中小肠、结肠出现器质性病变44例、小肠蛔虫症2例,约占0.43%。慢性胃炎、胃窦炎伴小肠及结肠运动功能异常717例,约占66.4%。单纯肠易激综合征317例,约占29.4%。其中腹泻型192例,约60%;便秘型125例,约40%。结论根据IBS患者不同临床症状、体征及X线影像的不同表现,在排除器质性疾病基础上,可为临床提供有价值的影像诊断依据。而小肠动力紊乱、结肠动力异常是所有IBS的主要影像征象。
Objective To explore the X-ray imaging representation characters and clinical diagnosis value of irritable bowel syndrome（IBS）. Methods Gastrointestinal barium meal examination was taken in 1080 patients with clinical representations of IBS using digital gastrointestin machine. And the X-ray material of 317 cases with simple IBS were analyzed. Results 44 cases suffered from small intestine or colon organic diseases and 2 cases small intestine ascariasis,about accounting for 0.43 %. 717 cases had chronic gastritis or antral gastritis with small intestine and colon movement function abnormality, accounted for 66.4% probably. 317 cases, holding some 29.4%, were simplex IBS. Among them, 192 cases were diarrhoea type and 125 cases were constipation type, holding 60 % and 40 % respectively. Conclusions It can provide valuable imaging diagnosis material for clinic as different X-ray representations basing on different clinical symptoms and physical signs. After excluding organic diseases, disorder of small intestine function and abnormality of colon momentum are the most important signs of all IBS patients.
出处
《中国基层医药》
CAS
2006年第12期2011-2012,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肠易激综合征
X线
放射摄影术
全消化道钡餐
Irritable bowel syndrome
X-ray
Radiography
Gastrointestinal barium meal
