- 期刊
- OpenAccess
Barium Studies of the Small Intestine
小腸硫酸鋇劑X光攝影研究
摘要
小腸鋇劑X光檢查歷史已久，但是小腸是消化道中最難檢查的地方。雖然內視鏡檢、CT、MRI及血管攝影已應用於小腸檢查，但是口服鋇劑X光攝影仍是目前最常被採用的方法。本研究目的在於探討由醫師做追蹤式透視小腸X光攝影是否優於技術員例行追蹤式臥姿小腸X光攝影。分析105個病例臥姿例行攝影和118個病例透視攝影，結果顯示兩者在病人照相耗費時間、X光照相品質、診斷價值方面並無顯著差異。技術員執行之臥姿腹部照相可顯示全體小腸及解剖，照相品質亦較為穩定。鋇劑通到迴腸末端時由醫師透視照相，大大提升照相品質。全程由醫師透視攝影，僅能採用多張局部性攝影，而且醫師一方面照顧上腸胃檢查病人，一方面處理小腸追蹤透視病人，照相間隔時間控制不易，醫師工作繁忙，人為因素變化較大。臥姿照相加上醫師透視檢查迴腸末端及可疑病灶，可有效彌補技術員執行臥姿照相之不足，同時可節省放射線醫師人力。
並列摘要
The small bowel follow-through examination has been applied in daily practice for a long period of time. Despite the widespread use of endoscopy, CT and MR imaging, barium meal examination remain the primary diagnostic technique for evaluation of patients suspected of having small bowel disease. To investigate the diagnostic impact barium follow-through in the assessment of small bowel disease, we prospectively compared examinations of barium follow-through and dedicated fluoroscopic examination. Barium follow-through was carried out at overhead X-ray machine room by radiological technologist. Dedicated fluoroscopic examination was performed only by radiologist in fluoroscopic room. The study showed no significant difference in diagnostic quality and examination time in either technique. Barium follow-through combined with fluoroscopic examination for the terminal ileum and suspicious bowel segments not only improved the examination quality but also result in saving much time for the radiologists.