单钡双重造影法对老年食管癌的诊断价值分析

The Value of Double Contrast Radiography for Single Barium in Diagnozing Esophageal Carcinoma of the Senile Patients

目的探讨"单钡双重造影法"对老年食道癌的诊断价值。方法对31例经手术或病理证实的老年食道癌患者行单钡双重造影法食道吞钡检查。结果早期食管癌3例,X线表现为病变处管壁不光滑,有极轻微僵硬感,侧壁轻度凹陷,食管壁边缘毛糙,双对比片中病变部见不规则小钡斑。中晚期食道癌28例,局部粘膜皱襞中断、破坏和消失;食管腔内充盈缺损,其表面可见大小不等龛影形成;溃疡型则可见较大不规则龛影位于腔内,周边可有隆起环堤;食管壁局限性狭窄,管壁僵硬,不能扩张或蠕动,狭窄食管的近端不同程度扩张。结论食管"单钡双重造影法"简单、有效、老年人易于接受,容易配合;对诊断老年早期食管癌,观察中晚期食管癌纵向侵犯范围具有十分重要的价值。

Objective To discuss the diagnostic value of double contrast radiography for single barium for esophageal carcinoma of the senile patients. Methodss 31 senile patients with esophageal carcinoma confirmed by operation or pathological study were given double contrast radiography with esophageal barium swallow. Results Early esophageal carcinoma was found in 3 cases, unsmooth le- sion esophags walls with rough edge, slight rigidity and slight depression of the sidewalls were seen in X- ray films, the double contrast films showed irregular small spots of barium in the lesion area ; advanced esophageal carcinoma was found in 28 cases＇, the local mucosal folds were destroyed, and filling defect was observed in esophageal cavity with niches of different sizes on the surface ; in ulcerative type, bigger irregular niches located in the cavity could be seen; the esophageal walls had local stenosis and rigidity, and had no expansion and peristalsis, there existed expansion of different degrees at the proximal end of esophageal stenosis. Conclusions Double contrast radiog- raphy for single barium is simple in performance and effective,and the senile patients can accept it easily and give good cooperation; it is of great value in diagnozing early esophageal carcinoma in the senile patients and in observing the longitudinal infiltration extent of advanced esophageal carcinoma.