彩超与钡餐和胃镜检查对贲门癌诊断价值的对照研究

The comparative study of colour ultrasonogyaphy and barium meal and gastrofiberscopy contrast study in the diagnosis of carcinoma of cardia

目的:为了探讨彩超显像对贲门癌的诊断价值。方法:选择56例贲门癌患者进行彩超显像检查,并与上消化道钡餐、纤维胃镜作比较。结果:彩超显像贲门癌肿块检出率为96.4％(54/56).上消化道钡餐为76.8％(43/56),纤维胃镜为78.6％(11/14)。彩超显像贲门癌肿块检出率显著高于后两者(P<0.01)。另外,彩超显像可以间接判断胃左动脉周围淋巴结转移的程度及病变与周围脏器的关系。结论:彩超显像检查贲门部病变具有后两者难以替代的优点,三者结合则可提高贲门癌的诊断及判断病期的准确率,从而为贲门癌手术适应症和/或手术方式的选择提供重要的参考依据。

In order to investigate the value of colour ultrasonography for the diagnosis of cardiac carcinoma. Methods: 56 cases were examined by colour ultrasonography and contrased with barium meal, and gastrofiberscopy. Results:The detective rate of cardiac carconma by colour ultrasonogrphy was 97. 9% (54/56), that of barium meal was 76. 8% (43/56),and that of gas-trofiberscopy was 78. 6 % (11 /14). The positive rate of colour ultrasonography was obviously higher than that of the latter two (P<0. 01 both). With colour ultrasonography we could determine indirectly the metastasis around-arteria gastric sinistra and the in-vasion of lesion. Conclusions: The colour ultrasonography examination was very useful and could not be replaced by the latter two. The conbination could make early diagnosis and stage determination,and give important help to the selection of treatment.