8例早期胃癌的X线分析

X-RAY ANALYSIS OF 8 CASES OF EARLY GASTRIC CANCER

本文简要地叙述了我院临床诊断中发现并经病理证实的8例早期胃癌的X线所见。其中1例表现为胃窦幽门前区大弯侧充盈缺损;5例以溃疡病变为主;1例术前X线检查未发现异常,活检证实胃窦小弯侧慢性胃窦炎伴有腺体不典型增生及癌变,后再复习其X线片发现胃窦小弯侧较平,轮廓毛糙,1例X线检查发现胃底贲门部有小气泡样充盈缺损,手术证实为腺癌。通过本组病例复习,我们认为早期胃癌只要在粘膜上有一定的直观所见,在X线胃肠造影中是能够显示出来而且也可以被认识的,但关键在于早期发现,为此简单地介绍了我院采用的口服发泡剂双重造影方法及操作技术。

X-ray features of 8 cases of early gastric cancer discovered in our clinical work were briefly described.One of them showed a small filling defect at the greater curvature of prepyloric region.5 cases were mainly ulcerative in appearance.One case with no remarkable abnormality in preoperative x-ray examination but biopsy verified chronic gastritis with carcinomatous change.Retrospective review of the x-ray films discovered that the lesser curvature of prepyloric region was flattened and slightly blurred.In the last case there were three gas bubble like filling defects at the cardiac region which verified later as an early adenocarcinoma.According to our retrospective study,we considered that early gastric cancers can be discovered by barium meal examination.The key point is how to discover the lesion as early as possible.The technigue of double contrast method used in our department was introduced.