简介: 摘要:目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月~ 2019年 3月收治的 40例胃底贲门下区癌患者,全部患者均采用 X线诊断,回顾性分析全部患者临床诊断资料,分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中,溃疡型 27例( 67.50%),龛影周围黏膜变形 27例,不规则钡斑 24例,椭圆形或圆形钡斑 3例,环堤 8例;平坦型 4例( 10.00%),树根样染钡区和云雾样染钡区各 2例;肿块型 9例( 22.50%);溃疡型检出率较肿块型、平坦型明显增高( P<0.05)。结论 在胃底贲门下区癌患者临床诊断中,行 X线诊断时选择仰卧半立左前斜位,有助于造影诊断,胃底贲门下区癌 X线主要征象为溃疡型,应注意鉴别其与良性溃疡,可提高早期诊断准确率。 关键词:胃底贲门下区癌; X线;影像学特征 Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. Results among 40 cases of cancer in the lower gastric fundus and cardia, 27 were ulcerative type (67.50%), 27 were mucosa deformation around niches, 24 were irregular barium spots, 3 were oval or round barium spots, 8 were circular levees, 4 were flat type (10.00%), 2 were root like barium stained area and 2 were cloud like barium stained area, 9 were mass type (22.50%). The detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05) ) Conclusion in the clinical diagnosis of patients with cancer in the lower gastric fundus and cardia, it is helpful to choose the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.
简介:摘要目的观察分析X线在胃底贲门下区癌患者中的诊断效果。方法选取我院2017年3月~2019年3月收治的40例胃底贲门下区癌患者,全部患者均采用X线诊断,回顾性分析全部患者临床诊断资料,分析X线诊断特征和意义。结果本组40例胃底贲门下区癌患者中,溃疡型27例(67.50%),龛影周围黏膜变形27例,不规则钡斑24例,椭圆形或圆形钡斑3例,环堤8例;平坦型4例(10.00%),树根样染钡区和云雾样染钡区各2例;肿块型9例(22.50%);溃疡型检出率较肿块型、平坦型明显增高(P<0.05)。结论在胃底贲门下区癌患者临床诊断中,行X线诊断时选择仰卧半立左前斜位,有助于造影诊断,胃底贲门下区癌X线主要征象为溃疡型,应注意鉴别其与良性溃疡,可提高早期诊断准确率。