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本文对41例有典型反流性食管炎症状者,进行了内镜检查、粘膜活检、食管X线检查和核素闪烁显像综合检查.23例无反流症状者作对照.41例有反流症状组的内镜检查.均见食管粘膜有轻或中度炎症改变.病理活检的阳性率为76%,其中87%为中期食管炎.内镜检查用于观察有无食管炎症及其程度.41例均行核素闪烁显像检测,显示有反流者81%.本组病例中有31例行X线钡餐检查,显示有反流者53%.核素显像和X线钡餐用于确定有无胃食管反流,前者较后者敏感.
In this paper, 41 cases of typical reflux esophagitis symptoms were examined by endoscopy, mucosal biopsy, esophageal X-ray examination and scintigraphy scintigraphy .23 cases of patients without reflux symptoms as a control .41 cases of anti Flow symptom group endoscopy were seen esophageal mucosal mild or moderate inflammatory changes.The positive rate of pathological biopsy was 76%, of which 87% of esophagitis.Endoscopy for the presence or absence of esophageal inflammation and its extent .41 cases of nuclear scintigraphy were detected, showed that 81% of patients with reflux.In this group of 31 patients underwent X-ray barium meal examination showed that 53% of reflux.Nuclear imaging and X-ray barium meal To determine whether there is gastroesophageal reflux, the former is more sensitive than the latter.