Shal'kov Iu L, Levendiuk A M, Gamidov A N
Khirurgiia (Mosk). 1990 Mar(3):54-7.
The nature, frequency, and informative value of contrast X-ray examination of the gastrointestinal tract after oral administration of liquid barium in the adhesive disease and adhesive ileus were studied in two groups of patients (123 and 162 persons). Signs such as prolonged retention of the contrast medium in the small intestine and "sagging" of the intestine with the appearance of an X-ray contrast level in the absence of gases above it are of most diagnostic significance. Goal-oriented X-ray contrast examination made it possible to reduce the time needed for preoperative diagnosis, reduce the number of operative interventions in which the intestinal lumen is opened, and improve the immediate outcomes of treatment; mortality reduced from 19.8% to 10.5%.
在两组患者（分别为123人和162人）中，研究了口服液体钡剂后胃肠道造影X线检查在粘连性疾病和粘连性肠梗阻中的性质、频率和诊断价值。诸如造影剂在小肠内长时间滞留以及肠管“下垂”且在其上方无气体的情况下出现X线造影剂平面等征象具有最大的诊断意义。针对性的X线造影检查能够缩短术前诊断所需时间，减少切开肠腔的手术干预次数，并改善治疗的近期效果；死亡率从19.8%降至10.5%。
