Chen Y M, Ott D J, Gelfand D W, Munitz H A
Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
Gastrointest Radiol. 1988;13(1):81-4. doi: 10.1007/BF01889029.
The medical records of 214 consecutive inpatients who had a barium enema examination were reviewed, and the clinical indications, efficacy of the barium enema, and patient outcome were correlated to determine the impact of the barium enema on patient management. The most frequent indications were rectal bleeding (33%), abdominal pain (31%), anemia (17%), weight loss (12%), and previous lesions needing reevaluation (12%). Diverticular disease (30%), colonic polyps (10%), and primary or secondary malignancies (12%) were the most common abnormalities detected radiographically. The sensitivity of the barium enema for colonic neoplasms was 89%, with only 1 small cecal polyp being undetected. The effects of barium enema on patient management were serious pathology excluded (64%), diagnosis made that changed therapy (24%), existing therapy continued (10%), and a further study ordered (2%). No serious or life-threatening lesion was missed by barium enema.
回顾了214例连续接受钡剂灌肠检查的住院患者的病历，将临床指征、钡剂灌肠的效果及患者的预后进行关联分析，以确定钡剂灌肠对患者治疗管理的影响。最常见的指征为直肠出血（33%）、腹痛（31%）、贫血（17%）、体重减轻（12%）以及既往病变需重新评估（12%）。憩室病（30%）、结肠息肉（10%）以及原发性或继发性恶性肿瘤（12%）是影像学检查发现的最常见异常。钡剂灌肠对结肠肿瘤的敏感性为89%，仅1例小的盲肠息肉未被发现。钡剂灌肠对患者治疗管理的影响包括排除严重病变（64%）、做出改变治疗的诊断（24%）、继续现有治疗（10%）以及安排进一步检查（2%）。钡剂灌肠未漏诊任何严重或危及生命的病变。
