~(99)Tc同位素扫描诊断食管裂孔疝及GER的临床观察

摘要

本文采用~(99)Tc同位素扫描对12例食管裂孔疝行术前和术后检查.结果证明~(99)Tc同位素扫描可确定GER的程度.这对术式的选择,术后疗效的评定都是一项客观指标.同时还介绍了同位素扫描对GER的诊断,评价,食管裂孔疝与GER的关系.%Many methods have been used in the diagnosis of gastroesophageal reflux (GER).In 12 cases of hiatal hernia (8 males and 4 females),~(99)Tc scanning was used from Nov.1986 to Jan.1988.8 of 9 sliding hernia in this series with GER before operation cured but one remained to have a mild GER of O.1 degree after operation.None of the patients with paraesophageal hernia had GER.The result of isotope scaning helps to decide the operation and to estimate the prognosis.