肠系膜上动脉压迫综合征临床误诊原因分析

目的；结合本组资料探讨肠系膜上动脉压缩综合征的临床误诊原因。方法：回顾性分析了34例肠系膜上动脉压缩综合征的临床表现和影像学检查方法及特征。结果；本病的主要临床表现为进食后上腹部疼痛，活动后加重。上消化道双重造影显示钡剂通过十二指肠水平段受阻，表现为典型的纵行“笔杆征”压迹，卧位可缓解。结论：肠系膜上动脉压缩综合征是临床上较常见的一种疾病，提高对本病的认识和应用正确的检查方法是减少本病误诊的关键。

Analysis of Clinical Misdiagnosis Causes of Superior Mesenteric Artery Opression Syndrome

Objective To investigate clinical misdiagnostic causes of superior mesenteric artery opression syndrome with these data. Methods We reviewed the features and double contrast gastrointerstinal radiography of 34 cases with superior mesenteric artery opression syndrome. Results The main symptoms were epigastralgia after meals, and the more pains the more when exercises. Double contrast gastrointerstinal radiography showed brium obstruction and same vertical impression as pen holder sign in the horizontal part of duodenum. When patients lay on their back, these signs usually disapperared. Conclusion Superior mesenteric artery presion syndrome was a common disorder. It is important to arise recognition of the disease and adopt proper examination methods.