贲门失弛缓症的影像学检测：视频荧光透视检查的诊断准确性

Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy.

作者信息

Schima W, Ryan J M, Harisinghani M, Schober E, Pokieser P, Denk D M, Stacher G

机构信息

Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, USA.

出版信息

Clin Radiol. 1998 May;53(5):372-5. doi: 10.1016/s0009-9260(98)80012-3.

DOI:10.1016/s0009-9260(98)80012-3

PMID:9630278

Abstract

AIMS

To retrospectively evaluate the accuracy of videofluoroscopy in the diagnosis of achalasia.

MATERIALS AND METHODS

Videofluoroscopic studies of the oesophagus of 53 patients (25 males, 28 females; mean age, 49 years) with manometrically revealed diagnosis of achalasia were retrospectively evaluated. The videofluoroscopic examinations had been carried out with one swallow of low-density barium suspension in the erect and up to three swallows in the prone oblique position. Videofluoroscopically, a diagnosis of achalasia was made in 31 of the patients (58%) with manometrically proven achalasia, of whom only nine had oesophageal dilatation. Non-specific oesophageal motor abnormalities were diagnosed radiographically in 18 patients (34%) and a normal motility in four patients (8%).

CONCLUSION

Videofluoroscopy is a valuable and sensitive technique for the detection of disordered oesophageal motility in achalasia.

摘要

目的

回顾性评估视频透视检查在贲门失弛缓症诊断中的准确性。

材料与方法

回顾性评估53例经测压确诊为贲门失弛缓症患者（25例男性，28例女性；平均年龄49岁）的食管视频透视研究。视频透视检查采用在直立位吞咽一口低密度钡剂悬液，在俯卧斜位最多吞咽三口。视频透视检查显示，53例经测压证实为贲门失弛缓症的患者中有31例（58%）被诊断为贲门失弛缓症，其中只有9例有食管扩张。18例患者（34%）经影像学诊断为非特异性食管运动异常，4例患者（8%）运动功能正常。