胃肠道X线诊断新.ppt

消化道疾病的X线诊断;胃 肠 道;第一节 检查方法;造影检查禁忌症;常用造影方法 ;消化道正常X线表现;消化道正常X线表现;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;消化道正常X线表现：胃;消化道正常X线表现：胃;消化道正常X线表现：胃;消化道正常X线表现：胃;消化道正常X线表现：胃;十二指肠;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;小肠;; 大肠;; 基本病变;基本病变;基本病变;基本病变;基本病变;基本病变;基本病变;基本病变;基本病变;基本病变;一、食道静脉曲张;X线表现;食道下段静脉曲张：轻度，粘膜增宽，稍迂曲;食道中下段静脉曲张：粘膜增宽迂曲，见多个圆形、椭圆形充盈缺损，呈串珠状排列，管壁边缘呈锯齿状，壁柔软;食道全段静脉曲张：重度，食管全段粘膜呈串珠状迂曲，食管腔扩大;二、食道癌;X线表现;食道中段癌：见不规则狭窄，不规则充盈缺损及粘膜破坏;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;食管癌;食道癌向纵隔穿破形成纵隔瘘;食管癌向纵隔穿破并发食管气管瘘;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;三、胃、十二指肠溃疡;胃溃疡标本;（一）胃溃疡：X线表现;（一）胃溃疡：X线表现;（一）胃溃疡：X线表现;（一）胃溃疡：X线表现;胃溃疡：胃体小弯侧龛影，口部可见水肿带;胃溃疡：胃体小弯侧腔外龛影，粘膜伸向龛影口部，可见项圈征（下图）;胃溃疡：胃体小弯侧乳头状腔外龛影，窄颈，粘膜纠集;胃溃疡：胃小弯侧龛影，可见粘膜线;（一）胃溃疡：X线表现;3. 胼胝性溃疡：龛影大，直径达1.5-2.0cm，深度≤1.0cm，常伴有粘膜纠集，与恶性溃疡鉴别困难;胃溃疡恶变：胃体小弯侧局部粘膜紊乱，有纠集现象，纠集的粘膜呈杵状增粗，并有中断，局部胃壁僵硬，扩张差;（二）十二指肠溃疡;十二指肠溃疡：X线表现;十二指肠溃疡：X线表现;十二指肠球部巨大龛影，周围见宽水肿带;十二指肠球部龛影;十二指肠球部溃疡：十二指肠穹窿部溃疡（龛影），伴幽门管偏移;十二指肠球部溃疡：十二指肠球部钡斑，其周围见明显粘膜水肿带;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;四、胃癌;胃癌：X线表现;胃癌：X线表现;浸润性胃癌：全胃容积缩小，管壁僵硬如革袋状（革袋胃）;浸润性胃癌：胃底部胃腔变狭小，管壁僵硬，胃壁不光滑;浸润性胃癌：胃体下部至胃窦变窄僵硬，表面凹凸不平，钡剂通过受阻，蠕动波消失;浸润性胃癌：胃外形呈胡萝卜状，胃腔狭小，自胃底至胃窦呈僵硬皮革状，胃壁不光滑;溃疡性胃癌：胃窦部小弯侧巨大不规则充盈缺损，其内见不规则龛影（半月综合征）;溃疡性胃癌：胃窦部小弯侧巨大不规则充盈缺损，其内见不规则龛影（半月综合征）;Evaluation only. Created with Aspose.Slides for .NET 3.5 Cli