口服4%泛影葡胺葛根粉糊螺旋CT扫描诊断食管癌的临床应用.pdfVIP

放射学实践衍。7 年 9 月第 22 卷第 9 期 R.diol Practic..Se? 2001 . Vol 22 .No. 9 939 ·胸部影像学· 口服 4%泛影葡胶葛根粉糊螺旋 CT 扫描诊断食管癌的临床应用 钱才女，钱水....，罗昌达，王成生，陈俊南 E摘要E 目的:探讨口..4%泛影葡黯葛根份#制造彰螺旋 CT扫描结合内镜检查在食管癌诊断中的临床应用.方法: 取葛根纷 10 g ， 95 1:以上开水 70 mJ 制成秘稠鹅剂.加入 60%泛JJ .i.t费 5ml 调 匀 .即成 4%泛影萄接葛根份销对比剂. 患 者扁片完成后.先哩9T 2-3 口对比剂.再舍-大口对比剂并快达唱7后，早气扣描.结果:锺手术病理和内.~J.l证实的 合管瘫 94 例.全部经 4%泛影筒且在~根粉糊螺旋 CT 扣捕，对病变舷肉 h肿块的位置、长度.J.~盖，气管、主气管侵犯情 况.肿块与大血管的关革以及麟、纵隔转移等情孔均显示清晰.但对均未形成管壁肿块的 -f期病变显示仍有，.. . 对内镜 揭管圈撑点食管外压位病史所aa窄梗阻，则 CT扫编优于内镜检查. 结论 :4%泛彰街，声葛根粉糊可作为虫.ìt CT ?~苗 结合内镜检垒守诊断食营癌. E关键诩】 食管Jt瘪 g 体A岳极影术.X 线计算机，内镜 E中图分类J) R735. 1 , R814.42 [文献标ìS!码】 A [文章编号] 1000-0313(2007)09-0939-03 Clin比aJ Appllcal协n or cr sc:an In 1)1句n幅画 E皿phagus Canc町 witb a mlxed P描te or 4 % Meglumine Oiatríz崎te and Roots or KIId国 ViM画 C帕仕四 Mωium QIAN (;a?nv.QIAN Sh世chun.LUO Chang-缸. el al. Deparunent of Radiology, T aiYu HO.$pital of Jiangyan. Jiangsu 2255∞.P. R. China (AI胃traet] Objeclive, To investigate the c1inic?l applications of 8piral CT acan using 4% Meglumine diatrizoate in roots of kudzu vìne paste for contr幽t medium ∞mbining gastroscopy in the diagnosis of esophagus can出r. Melh悦510el r∞ts of kudzu vine powder 10 grams mixing evenly with wann water. add boiled wal町 70ml. agitate quickly ;nlo mushy 51ate and add 60% Meglumine dialrízoate 5mL The mixture is 4% Meglumine diatriz剧时IOOIS of kudzu vine pasle ∞ntr回t medium. After throax film palient 5wallows 2-3 5阴沟n5 ∞ntra$t medium then swallow quickly ∞ntr踏t mediUlX) and hold breath for scanning. It回81ts ， 94 四ses of 峙。phagus cancer proved by operation and ga5tros∞py pathology were all checked with Meglumine diatri却ate r∞15 of kudzu vine pastc cOntrast medium by CT scan. lt showed c1early inside and the esopha- gus lumen,the position.lengt.h and diameter of the tumoflencroaching situ8tion of trachea and bronchia ， the ∞nn四tion be- tweeo the 阳mor and bl∞dv臼sel It also c1ur1y 5howed the metast8sis of the lung and mid皿stinum. But it was Iimited to the t田nor which hasn t form创 a mass in the e