残胃癌临床X线诊断（附30例分析）

Clinical and Radiological Diagnosis of Carcinoma of Gastric Stump (A Report on 30 Patients)

本文目的是提高对残胃癌的Ｘ线诊断水平。材料与方法：３０例残胃癌均经病理学证实，作者回顾分析了其ＧＩ表现。结果：病变发生于贲门部１８例（６０％），体部８例（２７％），吻合口４例（１３％）。互线表现：３例早期残胃癌均为隆起型，２７例进展期残胃癌分３种类型：①增生型（１７例）；②溃疡型（５例）；③浸润型（５例）。结论：作者认为，残胃癌的诊断标准有待进一步讨论；残胃癌发生率毕罗氏Ⅱ式术后高于毕罗氏互式术后；气钡双重造影是诊断残胃癌的有效方法。

This report was to elevate radiologic diagnosis of carcinoma of gastric remmant.30 patients with carcinoma of gastric stump were confirmed by pathological diagnosis.The authors retrospectively studied the radiologic findings of GI. Lesions occurred at the cardia in 18 cases(60%),on the body in 8 cases(27%)and at the gastroduodenostomy in 4 cases(13%).Radiographic findings:3 cases in early stage were of flat type;27 cases in advanced stage had three patterns ①polypoid lesion(18 cases),②malignant ulcer(5 cases),③infiltrating neoplasm (5 cases).The diagnostic criteria of carcinoma of stomach after gastrectomy could be further discussed,the incidence of gastric cancer in gastric stump after Billorth Ⅱ operation was much higher than that following Billorth I type,Duble-contrast technical examination was an effective method for radiological diagnosis.