Diagnostic Value Of Different Examination Methods For Sliding Hiatal Hernia

Objective:To study the diagnostic value of different auxiliary examination methods for sliding hiatus hernia.Methods:A retrospective analysis of patients in our hospital underwent high resolution esophageal manometry,selected patients diaphragm and lower esophageal sphincter separation,lack of data and exclude patients with esophageal surgery,conforms to the standard of a total of 96 cases,the Chicago standard patients were grouped,divided into three groups,type I and type II Group group,III group.The diagnosis of sliding hiatus hernia was analyzed by high resolution esophageal manometry as the gold standard.The diagnosis of sliding hiatus hernia was analyzed by upper gastrointestinal contrast,gastroscope and GERDQ.Results:96 cases of patients diagnosed by the gold standard III group number of sliding hiatus hernia in 38 cases,the sensitivity for diagnosis of barium meal was 94.74%,the specificity was 94.83%,the positive rate of diagnosis was 37.50%;the sensitivity of endoscopic diagnosis was 81.58%,the specificity was 72.41%,the positive rate of diagnosis was 32.29%;The positive likelihood ratio,negative likelihood ratio,positive predictive value,negative predictive value,diagnostic index,gross coincidence rate and adjustment consistency were 18.32?0.06,92.30,96.65,192.24,94.79,71.12,respectively,the gastroscopy group were 2.96,0.25,95.96,85.57,153.99,76.04,55.20 respectively.collect the GERDQ score of symptoms of the data of 93 patients,including 80 cases of GERDQ>8 patients who are more than by high resolution manometry for diagnosis of sliding hiatus hernia in 30 cases,the ratio was 37.50%;the endoscopic diagnosis,three groups of patients with esophageal junction and esophageal fissure pore pressure trace spacing:Three groups of patients with distance between the incisor teeth are not specific,followed by(38.63±2.17,38.21±2.21,37.52±1.85),statistical analysis of F=2.16,there was no significant difference of P>0.05,HIS blunt and hernia formation:type III group>type II group,type III group>type group,followed by 71.05%and 71.05%;27.28%and 22.22%;4.54%and 4.54%;?~2=17.96,?~2=25.43,P<0.05 difference was statistically significant,and there was no significant difference between type II group and type I group(P>0.05).The complications of sliding hiatus hernia,esophageal inflammation,Barrett hemorrhage:type I group occurrence rate were 9.09%,4.54%,0%,the incidence of type II group were 58.33%,2.78%,the incidence rate of 0%,type III group were 65.79%,2.63%,2.63,esophagitis incidence of type II group,type III group group to be higher than type I.Conclusion:Barium and gastroscope barium meal of sensitivity and specificity for diagnosis of high sliding hiatus hernia,Compared with gastroscopy,the specificity,sensitivity,positive likelihood ratio,negative likelihood ratio,positive predictive value,negative predictive value,diagnostic index,coarse coincidence rate and consistency of adjustment were better than gastroscopy.but endoscopic diagnosis of sliding hiatus hernia.complications have certain significance,GERDQ has certain auxiliary function of sliding hiatus hernia,esophageal junction structure and the hole pressure trace,HIS blunt and the hernia sac formation has certain value in gastroscopy phenomenon of sliding hiatal hernia in.