胃恶性浸润型肿瘤检查――Ｘ线与内镜比较.docVIP

胃恶性浸润型肿瘤检查――Ｘ线与内镜比较 　　【摘要】目的： 评价X线胃肠造影和纤维内镜检查在胃浸润型肿瘤诊断中的作用。材料和方法：随机选取1996年以来我院经手术病理证实，且于术前均进行X线-内镜-活检检查的胃恶性浸润型肿瘤8例。男7例，女1例；年龄最小36岁，最大82岁。发生于胃体部4例，胃窦部3例，胃贲门下1例。病理证实7例为未分化或低分化腺癌，1例为胃窦部恶性淋巴瘤。结果： 全部病例术前X线胃肠造影检查均诊断为恶性浸润型肿瘤，诊断符合率达100%；内镜肉眼诊断浸润型癌和癌可疑者3例，诊断符合率为37.5%；内镜+活检诊断胃癌6例，诊断符合率为75%。结论： 在胃浸润型肿瘤的检查中，胃肠造影检查明显优于内镜检查。良好的胃多相造影应作为上胃肠道病变检查的主要方法。 　　【关键词】胃 浸润型肿瘤 胃肠造影 内镜 　　M alignant stomach tumor-infiltrating inspections――X-ray and endoscopic comparison 　　Zhang Guoliang1Chen Jiuru2 　　【Abstract】Objective: To evaluate the X-ray imaging and fiber gastrointestinal endoscopy in the stomach-invasive diagnosis of the tumor. Materials and methods: random selection in our hospital since 1996, proved by surgery and pathology, and were carried out in the pre-operative X-ray - endoscopy - examination of the gastric biopsies of m alignant tumor-infiltrating 8 cases. 7 males and 1 female; the youngest 36 years old, maximum 82-year-old. Occurred in 4 cases of gastric body and antrum in 3 cases, 1 case of gastric cardia under. 7 cases of pathologically confirmed as undifferentiated or poorly differentiated adenocarcinoma, 1 case of m alignant lymphoma for the antrum.Results: All cases of pre-operative gastrointestinal X-ray imaging examination were diagnosed as m alignant tumor-infiltrating, in line with the diagnosis rate of 100%; diagnosis of invasive endoscopy to the naked eye-cancer and cancer of suspicious persons in 3 cases, the diagnosis rate of 37.5 percent; Endoscopy + 6 cases of gastric cancer diagnostic biopsy, in line with the diagnosis rate of 75%. Conclusion: In the stomach tumor-infiltrating the inspection, much better than angiography gastrointestinal endoscopy. Good multi-phase imaging stomach as the gastrointestinal lesions of the main methods checked. 　　【Key words】StomachTumor-infiltratingGastrointestinal imagingEndoscopy 　　胃肠道钡餐造影（以下简称X线检查）和胃电子纤维内镜检查（以下称内镜）均是诊断胃癌的主要方法。但对二者的评价褒贬不一，有作者认为X线检查是上胃肠道检查的首选方法［1,2］，也有人认为内镜优于X线检查。对于病变位于腔内而且粘膜改变显著的肿块型或溃疡型胃癌的发现和诊断不太困难，并不十分强调检查方