【作者】 赵振华；

【导师】 章士正；

【作者基本信息】 浙江大学 ， 影像医学与核医学， 2009， 硕士

【摘要】 目的:探讨胃钡奶造影检查在功能性消化不良(FD)诊断中的价值及FD患者胃排空功能与临床症状的关系。方法:30例FD患者、22例健康志愿者,12例FD治疗前后自身对照,口服硫酸钡和牛奶配制成100%的钡奶液150ml,分别在餐后0分钟、30分钟、60分钟、90分钟摄片,观察消化期不同时相胃中间横带宽度,近端胃钡剂残留率,远端胃钡剂残留率,近端胃和远端胃面积,胃排空率,临床症状积分,胃中间横带宽度、胃面积、胃排空率、临床症状的相关性。结果:FD组的胃中间横带宽度均较健康组增宽,餐后30分钟、60分钟、90分钟两组比较有显著性差异(P＜0.05),餐后60分钟近端胃钡剂残留率FD组较健康组大,FD组30分钟、60分钟、90分钟远端胃钡剂残留率较健康组明显增大,以60分钟、90分钟明显(P＜0.01),FD治疗后90分钟远端胃钡剂残留率较治疗前变小;胃排空与远端胃面积关系密切(P＜0.01);FD治疗后症状总积分改善(P＜0.01)。结论:FD症状与胃排空功能失调有关,胃钡奶造影检查在FD诊断中有较大价值,可以作为一种评价FD患者胃排空功能的简便的检查方法。更多还原

【Abstract】 Objective:To assess the value of barium sulfate-milk mixed liquor in diagnosing functional dyspepsia(FD) and the relationship of patients with functional dyspepsia(FD) between gastric emptying function and clinic symptom.Methods:This study included 30 cases of functional dyspepsia(FD),22 eases of volunteers and 12 cases of functional dyspepsia(FD) of own control before and after treatment.Take photographs respectively 0 minute,30 minutes,60 minutes and 90 minutes after taking orally 100%barium sulfate-milk mixed liquor to observe the midgastric-transverse band(MTB),barium residual rate in proximal and distal gastral cavity during different phases.Results:As for MTB,FD group was significantly wider than volunteer group(30, 60 and 90 minutes after taking orally sulfate-milk mixed liquor respectively,p＜0.005). As for barium residual rate in proximal gastral cavity 60 minutes after taking orally sulfate-milk mixed liquor,FD group was higher than volunteer group.As for barium residual rate in distal gastral cavity 60 minutes and 90 minutes after taking orally sulfate-milk mixed liquor,FD group was significantly higher than volunteer group (p＜0.001).As for barium residual rate in distal gastral cavity 90 minutes,group post-treatment was lower than group pretherapy.The patients with FD make better their clinic symptom after treatment(P＜0.01).Conclusions:The symptoms of FD relate to maladjustment of gastric function. Barium sulfate-milk mixed liquor is useful in diagnosing FD and can be used for a convenient assessment approach.更多还原