不同放射检查方法在老年性食管裂孔疝中的诊断价值

赵保安

（陕西省西安市北方医院，陕西 西安，710043）

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摘要：

目的 探讨不同放射检查在老年性食管裂孔疝中的诊断价值。方法 选取我院收治的96 例疑似老年性食管裂孔疝患者 为研究对象，所有患者均采用X 线、钡餐造影及螺旋CT 进行诊断，以手术病理为金标准，比较各检查方法诊断结果及其诊 断效能。结果 96 例疑似老年性食管裂孔疝患者中，最终病理确诊阳性73 例，阴性23 例；X 线诊断阳性59 例，阴性37 例；钡 餐造影阳性69 例，阴性27 例；CT 阳性70 例，阴性26 例。三种方法阳性率比较，差异有统计学意义（P<0.05）。X 线的灵敏度、特异度及准确度分别为69.86%、65.22%及68.75%；钡餐造影的灵敏度、特异度及准确度分别为91.78%、91.30%及91.67%； CT 的灵敏度、特异度及准确度分别为94.52%、95.65%及94.79%。钡餐造影与CT 的灵敏度、特异度及准确度均显著高于X 线，差异有统计学意义（P<0.05）；钡餐造影与CT 比较，无显著性差异（P>0.05）。结论 X 线检查操作简单，但诊断阳性率低，钡 餐造影及CT 检查的诊断效能较好，但对于老年患者钡餐造影操作难度大，而CT 检查更易于被患者接受。

关键词：放射检查；老年性食管裂孔疝；X 线片；钡餐；CT；诊断效能

中图分类号：R655.4文献标志码：A文章编号：2096-1413(2018)06-0141-02

Diagnostic value of different radiation examinations in elderly patients with hiatal hernia


ZHAO Bao-an
(Xi``an North Hospital, Xi``an 710043, China)

ABSTRACT: Objective To explore the diagnostic value of different radiation examinations in elderly patients with hiatal hernia. Methods A total of 96 patients with suspected of senile hiatal hernia were selected as the objects. All patients were diagnosed by X-ray, barium meal angiography and spiral CT. The operation and pathology results were as gold standard. The diagnostic results of various test methods and diagnostic efficacy were compared. Results The final pathological diagnosis showed positive in 73 cases and negative in 23 cases of 96 patients with suspected of senile hiatal hernia. X-ray, barium meal angiography and CT diagnosis showed positive in 59 cases, 69 cases and 70 cases and their diagnosis of negative were respectively 37 cases, 27 cases and 26 cases. The differences in positive rates among the three methods were statistically significant (P<0.05). The sensitivity, specificity and accuracy of the X-ray were 69.86%, 65.22% and 68.75%,respectively; the sensitivity, specificity and accuracy of Barium meal angiography were 91.78% , 91.30% and 91.67% , respectively; the sensitivity, specificity and accuracy of CT were 94.52%, 95.65% and 94.79%, respectively. The sensitivity, specificity and accuracy of Barium meal angiography and CT were significantly higher than those of X -ray, and the differences were statistically significant (P<0.05); there were no significant differences in the sensitivity, specificity and accuracy between Barium meal angiography and CT (P>0.05). Conclusion X-ray examination is simple, but the diagnostic positive rate is low. The diagnostic efficacy of Barium meal angiography and CT examination is better, but Barium meal is difficult for elderly patients to operate, and CT examination is easily to be accepted.
KEYWORDS: radiation examination; elderly hiatal hernia; X-ray; Barium meal; CT; diagnostic efficacy

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