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目的探讨胆囊切除术前上消化道钡餐造影检查的临床意义。方法对1240例拟行单纯胆囊切除术病人在术前常规做上消化道钡餐造影检查,并对检查异常者进行分析。结果1240例中阳性发现188例,其中慢性胃窦炎28例;十二指肠乳头旁憩室57例,其中12例行手术治疗;十二指肠非乳头旁憩室6例,十二指肠多发憩室2例,其中6例手术治疗;胃癌4例;胃溃疡9例;十二指肠球部溃疡16例;十二指肠滞留4例;食道静脉曲张14例;重度胃下垂47例;食道裂孔疝1例。结论胆囊切除术前上消化道钡餐造影检查可以发现并存疾病,有利于并存疾病的治疗,对手术适应证的判断和胆囊切除术后问题的预防有指导意义。
Objective To investigate the clinical significance of upper gastrointestinal barium meal angiography before cholecystectomy. Methods 1240 cases of patients undergoing simple cholecystectomy were routinely performed upper gastrointestinal barium meal angiography, and abnormalities were analyzed. Results A total of 188 cases were found in 1240 cases, including 28 cases of chronic antral gastritis, 57 cases of duodenal papillary diverticulum, of which 12 cases underwent surgical treatment. Duodenal non-papillary diverticulum was found in 6 cases and duodenal multiple Diverticulum in 2 cases, of which 6 cases of surgery; gastric cancer in 4 cases; gastric ulcer in 9 cases; duodenal ulcer in 16 cases; duodenal detention in 4 cases; esophageal varices in 14 cases; severe gastric ptosis in 47 cases; esophageal hiatus Hernia in 1 case. Conclusion Before cholecystectomy, upper digestive tract barium meal examination can detect coexisting diseases, which is beneficial to the treatment of coexisting diseases. It is instructive to judge the indication of operation and prevention after cholecystectomy.