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目的探讨提出小肠低位症诊断的可行性。试提出小肠低位症的诊断标准。方法通过口服钡剂小肠造影,严格筛选病例。所入选病例必须同时符合两个条件:①口服钡剂小肠造影显示至少半数小肠位于骶骨岬以下。②患者具有长期慢性腹痛、腹胀等病史,并排除其患有可引起相似症状的疾病。结果获得病例37例,女性多于男性。根据造影表现分为四型:①单纯型。②功能性。③粘连型。④复合型。症状与造影表现明显呈正相关性。结论所述慢性腹痛、腹胀等症状在排除其它疾病可能性的情况下与小肠低位状态明显相关。据消化道状态与功能有密切关系,结合小肠解剖特点及检查所见,有充分理由认为提出小肠低位症是适合的,有助于指导临床有针对性的治疗。
Objective To explore the feasibility of diagnosis of small bowel disease. Try to put forward the diagnosis of small bowel disease diagnostic criteria. Methods By oral barium small bowel angiography, strict screening of cases. The selected cases must meet both conditions: ① oral barium small bowel angiography shows that at least half of the small intestine is located below the promontory promontory. ② patients with chronic abdominal pain, abdominal distension and other long-term history, and exclude its suffering from similar diseases can cause symptoms. Results 37 cases were obtained, more women than men. According to angiography performance is divided into four types: ① simple type. ② functional. ③ adhesion type. ④ complex type. Symptoms and imaging showed a clear positive correlation. Conclusions The symptoms such as chronic abdominal pain, abdominal distension and so on are obviously related to the low intestinal status after excluding the possibility of other diseases. According to the digestive tract status and function are closely related to the characteristics of the small intestine and inspection found that there are good reasons that the proposed small bowel disease is suitable to help guide the clinical targeted therapy.