双对比钡餐造影对早期胃癌的诊断价值.pdfVIP

岭南现代临床外科2008年2月第8卷第1期Lingnan Modem Clinics in Su ry。Feb．2008，Vo1．8 No．1 · 临床研究· 双对比钡餐造影对早期胃癌的诊断价值 胡辉军 沈 君 陈娇霞：段小慧 成丽娜 中山大学附属第二医院放射科 消化内科 (广州 510120) 【摘要】 目的 探讨早期胃癌的双对比钡餐造影的特征及其临床诊断价值。方法 对我院放射科在 2003年1月至2007年12月间38例经手术或胃镜取病理证实早期胃癌在术前接受双对比钡餐造影x线检查 进行回顾性分析。本组患者在检查时采用多体位、多轴位观察黏膜像及充盈像，并摄片，必要时使用压迫器。 结果 38例早期胃癌，位于胃窦部21例，胃角8例，胃体部5例，胃底部4例，I型11例，II C型7例，II a+c型 6例，Ⅲ型14例。高分化腺癌10例，低分化腺癌 6例，粘液腺癌7例，印戒细胞癌5例，中分化管状腺癌10例。 11例结节状隆起型。13例表浅型。14例凹陷型。 结论 优良的双对比钡餐造影法是将粘膜法、充盈法和压迫 法充分结合，并利用体位进行检查，它有助于检出早期胃癌。 【关键词】双对比钡餐造影；早期胃癌；诊断 中图分类号：R735．2 文献标识码：A 文章编号：1009-976X(2008)01-0046—02 The diagnostic value of double contrast barium meal radiography in the early gastric cancer HU Hu~un ，SHEN Jan ，CHEN Jiaoxia2，DUAN Xiaowei ，CHENG Lina1 』．Department of Radiology2．Department of Digestive Internal Medicine．The Second Affiliated Hospital，Sun Yat—sen University，Guangzhou 510120 【Abstract】 Ojective To investigate the feature of double contrast barium meal radiography and its diagnostic value for early gastric cancer．Methods From January 2003 to December 2007，38 cases with early gastric cancer confirmed by operation or gastroscopic pathological examination and preoperative received double contrast barium meal radiography were analyzed retrospectively．In this group，multiple posture and multiple axial posture were used to observe mucosal imaging and filling imaging．And X ray film was taken． The compressor was used in partial patients． Results Among them，21 cases were located in the gastric antrum． The residual 8，5 and 4 cases were located respectively in the gastric corner，gastric body and gastric fundus．According to clini