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目的提高食管裂孔疝的诊断水平。方法报告４４例食管裂孔疝，其中滑动性疝３５例，不可逆性疝９例；对滑动疝者均采用卧位吞钡观察，并局部点片或２幅／秒系列拍片；不可逆性疝者均拍胸部正侧位并行上消化道钡餐透视。结果滑动性疝者均具有疝囊、“Ａ”环、“Ｂ”环及胃—食管前庭段异常等多种征象；不可逆性疝表现为心后三角区软组织块影，内含气或者气液平，形态多变；钡餐透视见胃部分或者大部位于膈上。结论卧位钡餐透视是诊断食管裂孔疝的最佳方法。
Objective To improve the diagnosis of hiatal hernia. Methods 44 cases of esophageal hiatal hernia were reported, including 35 cases of sliding hernia and 9 cases of irreversible hernia. All patients with sliding hernia were observed with barium swallows in the supine position and partial spot or 2 / sec series filming were performed. The patients with irreversible hernia Side of the chest is parallel to upper gastrointestinal barium meal perspective. The results of sliding hernia who have hernia sac, “A” ring, “B” ring and stomach - esophageal anomalies and other signs; irreversible hernia manifestations of the soft tissue of the triangle area after the block, containing gas or gas Flat, changeable form; barium meal perspective see the stomach or most of the diaphragm. Conclusion Supine barium meal fluoroscopy is the best method to diagnose hiatal hernia.