常规钡餐与甘露醇掺入钡餐造影诊断慢性阑尾炎的效果比较.pdfVIP

实用医药杂志2008年O3月第25卷第O3期 Prac J Med＆Pharm． 0I 2 ，2QQ =Q ．Q · 277· 临床研究 常规钡餐与甘露醇掺人钡餐造影 · 论 著· 诊断慢性阑尾炎的效果比较 张升文 (山东医学高等专科学校附属医院放射科，山东临沂 276004) 【摘 要】 目的 比较常规钡餐检查与应用甘露醇钡餐检查在诊断慢性阑尾炎的临床应用价值。方法 回 顾性分析 1999—10 2006—0．．笔者所在医院钡餐检查后经手术治疗并病理确诊的162例慢性阑尾炎患者 的有关资料。其中应用甘露醇钡餐检杏1 12例，常规钡餐检杏50例。结果 两种钡餐造影方法阑尾炎诊 断符合率分别为94．64％和52．00％。全部患者均行阑尾切除术，162例病坪诊断为慢性阑尾炎。结论 两 种方法对阑尾诊断符合率有明显差异．郎应甩甘露醇钡餐检查n 明显提高慢性阑尾炎诊断牢。 【关键词】钡餐造影 甘露醇 慢性阑尾炎 【中图分类号】R574．61：R445 I文献标识码J A Comparison on the diagnosis effects of routine barium meal examination and added mannitol barium mea1 examination for chronic appendicitis ZHANG SHeng-wen．Department of Radiology， the Affiliated Hospital of Shandong Medical College，Linyi 276004，China 【Abstract】 Objective To compare the clinical applying values of routine barium—meal examination and mixed with mannitol barium meal in the diagnosis of chronic appendicitis．Methods The 162 cases with chronic appendicitis confirmed by surgical treatment and pathologic diagnosis I_r0m Oct．1 999 to Oct．2006 were reviewed retrospectively in tile affiliated hospital of Shandong medical college．Among them l 1 2 cases received mannitol method，50 cases received routine examination．Results Diagnosis rate of chronic appendicitis in barium meal with two methods were 94．64％ and 52．00％，respectively．All the cases were treated surgically and had pathological results，there were significant difference (P0．02)on diagnosis of chronic appendicitis by using of the two methods．Conclusion Barium meal mixed with mannitol could distinctly increase the diagnosis rate of chronic appendicitis． 【Key words] Barium meal Mannitol Chronic appendicitis 慢性阑尾炎作为一种常见病，因临床症状不典 组用普通医用硫酸钡400g，分别置人2个一次性口 型往往诊断较为困难．常规胃肠钡餐检查阑尾显示 杯中，各加入100m|温水充分调匀后使用。 率较低，影像诊断符合率不高。笔者所在