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对食管炎的诊断,X线检查与内镜检查相比,前者可靠性较差,故近年来以内镜直接观察为主.但X线检查在观察食管生理运动、与邻近器官的关系及其整体形象方面,则较内镜检查有利.作者分析了近4年来作内镜检查后立即作X线检查的糜烂溃疡型食管炎患者12例,使用钡剂浓度120～140%w/v,于直立左前及右前斜位作双重造影.此外,观察食管炎与食管裂孔疝病例的食管粘膜己糖胺量的变化.对照组30例,食管裂孔疝16例,其中6例伴食管炎.在内镜下作活检,在病变部位及距离变区口侧约5cm处取材.另作动物实验,结扎雄性大鼠的幽门,24小时后,8只产生食管溃疡,5只无溃疡,以8只未作结扎者作对照,分别测定食管粘膜己糖胺含量.
The diagnosis of esophagitis, X-ray examination compared with endoscopy, the former reliability is poor, so in recent years the main direct observation by endoscopy.But X-ray examination in the observation of esophageal physiological movement, and the relationship between the adjacent organs and the overall Image, it is more favorable than endoscopy.Analysis of the past 4 years for endoscopic examination immediately after X-ray examination of erosive ulcerative esophagitis in 12 patients, the use of barium concentration 120 ~ 140% w / v, in the upright Left anterior and right anterior oblique for double contrast.In addition, esophagitis and esophageal hiatal hernia esophageal mucosa observed the amount of hexosamine.Control group of 30 patients, hiatal hernia in 16 cases, of which 6 cases with esophagitis .In endoscopic Under the biopsy, the lesion site and the distance from the side of the mouth about 5cm taken.Other animal experiments, male rats pylorus ligation, 24 hours later, 8 had esophageal ulcer, 5 without ulcer, 8 did not make Ligation as a control, were measured esophageal mucosa hexosamine content.