X线钡餐检查疑诊、漏诊胃癌的胃镜诊断

Gastroscopic diagnosis of gastric carcinoma suspected and neglected by X-ray barium meal examination

为探讨胃镜检查对Ｘ线钡餐检查疑诊、漏诊胃癌的诊断价值，对２３例Ｘ线检查疑、漏诊并经胃镜检查的胃癌进行了总结分析。结果２１例诊断为胃癌，占９１．３％。认为胃镜检查对这类患者具有重要诊断价值。Ｘ线钡餐检查疑、漏诊者主要为高位胃癌、早期胃癌、多原发胃癌及以幽门梗阻为主要表现的胃癌，胃镜检查时通过采用倒转手法、活检、细胞刷检查及抽吸胃潴留液等手段，可对这些病例作出正确诊断。

This paper reports the study on 23 cases of gastric cancer suspected and neglected by X-ray barium meal examination in order to assess the diagnostic value of gastroscopy in these patients.Of the 23 cases,21 were confirmed by gastroscopy.The authors consider that gastroscopy is of important diagnostic Value to these patients.It has been confirmed that the X-ray barium meal examination often fails to make exact diagnosis of upper gastric cancer,early gastric cancer,multiple primary gastric cancer and gastric cancer with pyloric obstruction,but gastroscopy is able to establish diagnosis of these cancers by reverse maneuver,biopsy,scrub and aspiration of the retained gastric juice.