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目的探讨不可复性食管裂孔疝的Ｘ线诊断及鉴别诊断。方法对２２例经食道钡餐证实的不可复性食管裂孔疝的Ｘ线资料进行分析。结果１８例立位胸片或胸透示左膈上心影后有类圆形软组织影或含气液囊腔，该囊壁外缘光整、内缘可光滑或不平，进餐或打嗝后其形态与大小常有变化，临床表现轻微或缺如、与囊腔大小不符；２２例食道钡餐示食管裂孔增宽，膈上见持续存在的胃疝囊。结论本病易误漏诊，提高诊断的关键在于加深认识、综合考虑，食道钡餐是简便易行的确诊手段
Objective To investigate the X-ray diagnosis and differential diagnosis of refractory esophageal hiatal hernia. Methods X-ray data of 22 cases of refractory esophageal hiatal hernia confirmed by trans-esophageal barium meal were analyzed. Results Eighteen cases of chest radiograph or thoracic radiograph showed a kind of round soft tissue shadow or air sac cavity. The outer edge of the cyst wall was smooth, the inner edge could be smooth or uneven. After eating or burping Morphology and size often change slightly or lack of clinical manifestations, and the cyst size does not match; 22 cases of esophageal barium meal showed widening of the esophagus, the diaphragm continued to exist on the gastric hernia sac. Conclusion The disease is misdiagnosed, the key to improve the diagnosis lies in deepening understanding, considering, esophageal barium meal is a simple and easy means of diagnosis