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小儿腐蚀性食管炎病因与X线表现的对比研究

时间:2006-11-22 21:56:12  来源:  作者:

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Comparative study on the etiology and the radiographic findings of corrosive esophagitis in children

 

高剑波 岳松伟 杨学华 郭华 李荫太 高雪梅 赵艺蕾

GAO JianboYUE SongweiYANG XuehuaGUO Hua LI YintaiGAO XuemeiZHAO Yilei.Department of RadiologyThe First Affiliated Hospital,<?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" />Henan Medical UniversityZhengzhou 450052China

 

Abstract

  ObjectiveTo investigate the relationship between the corrosive and the degree of injured esophagus by analyzing the Xray findings of corrosive esophagitis CEin children.

  MethodsSixteen cases of CE were reported.There were 14 males and 2 females and the age ranged from 1 to 11 years with the average of 3.4 years.The aera and degree of the injured esophagus were analyzed respectively according to the characteristic and dose of the corrosive and the Xray findings.

  ResultsThe average length of esophageal stricture in 16 cases Was 10.7cmwhich was 63.4 percent of the whole esophagus.The width ofstricturewas0.11.2cm.The Injury occurred in the middle and terminal esophagus in 13 cases83.1%).The average percent ages of the esophageal stricture caused by lyes and acids were 70.5 and 42.0%,respectively.The difference of the two Groups was statistically significant t2.359P<0.05.

  ConclusionSerious and extensive stricture of the CE In children often occurs in the middle and terminal esophagus.The severity of lesions depends on the typequantityand concentration of the caustic substance ingestedas well as on the time of contact with the mucosa.The esophageal length of injury caused by lyes is more extensive than that caused by acids.

  Key wordssophagitisCorrosiveChildrenEtiologyRadiography

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