摘要
目的总结胃底贲门癌的X线特征性表现。方法 20例由手术病理证实的胃底贲门癌患者(男性12例,女性8例,年龄45～72岁)均经X线钡餐造影检查,包括气钡双重造影和气腹胃壁造影,回顾性分析了所有患者的影像表现。结果病变部位黏膜增粗、紊乱、中断消失占100%,胃泡内软组织肿块占60%,胃底僵硬变形占80%,恶性龛影占70%,食管下端变窄及钡流喷射现象占60%。结论胃底贲门癌患者采用X线上消化道钡餐造影检查安全可靠,准确率高,同时可以弥补胃镜对容易遗漏的死角及功能性变化观察的不足。
Objective To summarize the radiographic features of gastric fundus and cardia cancers.Methods Twenty patients（12 men,8 women,aged 45-72 years） with surgically and pathologically proved gastric fundus and cardia cancers underwent upper gastrointestinal barium meal tests which comprised double air-barium contrast GI study and air-abdomen gastric parietography.Imaging findings of all patients were analyzed retrospectively.Results The thickening,disorder,interruption and disappearance of mucous membrane in the involved locations were found in all patients（100%）,the soft tissue masses in gastric bubbles were found in 12 cases（60%）,the rigidity and deformation of gastric fundi were found in 16 cases（80%）,malignant niche shadows were found in 14 cases（70%）,and lower segment narrowing of esophagus and ejective phenomena of barium flow were found in 12 cases（60%）.Conclusion Upper gastrointestinal barium meal examination for diagnosing gastric fondus and cardia cancers is a safe,reliable and high-accurate modality which may well compensate the defect of gastroscope for observing easily missing dead angles and functional changes.
出处
《实用医学影像杂志》
2011年第3期165-166,176,共3页
Journal of Practical Medical Imaging
关键词
胃癌
贲门
钡餐造影
上消化道
Gastric cancer
Cardia
Barium meal test
upper gastrointestinal tract
