Ginai A Z, van Buuren H R, Hop W C, Schalm S W
Department of Radiology, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Br J Radiol. 1993 Apr;66(784):322-6. doi: 10.1259/0007-1285-66-784-322.
Although barium swallow is a quick and easy method for diagnosing oesophageal varices, there is considerable variation between observers because objective quantitative radiological criteria have so far not been defined. In order to define these criteria, a blind radiological/endoscopic comparative study using endoscopy as the gold standard was retrospectively carried out in 72 patients. A prospective study was then carried out in 47 patients to define the validity of the radiological criteria found by the first study. The results of both studies showed that the length and the width of the mucosal folds representing varices as measured on barium swallow radiographs have a significant relationship with the grade of the varices as determined by endoscopy. We conclude that barium swallow is a quick and reliable method for quantitative assessment of oesophageal varices.
尽管吞钡检查是诊断食管静脉曲张的一种快速简便的方法，但由于目前尚未确定客观的定量放射学标准，不同观察者之间存在相当大的差异。为了确定这些标准，我们对72例患者进行了一项以内镜检查为金标准的盲法放射学/内镜对照研究。然后对47例患者进行了一项前瞻性研究，以确定第一项研究中发现的放射学标准的有效性。两项研究结果均显示，吞钡造影X线片上测量的代表静脉曲张的黏膜皱襞的长度和宽度与内镜检查确定的静脉曲张分级有显著相关性。我们得出结论，吞钡检查是定量评估食管静脉曲张的一种快速可靠的方法。
