105例早期食管癌X线表现及临床分析

Early Esophageal Cancer Barium X-Ray Finding and Clinical Performance(A Report of 105 Cases)

目的:通过回顾性分析病历资料以提高早期食管癌的诊断率。方法:对我院10年来早期食管癌105例进行回顾性分析,总结其X线征象及临床表现。结果:X线征象中局限性管壁僵硬25例(23.8%),小充盈缺损19例(18.1%),黏膜增粗、扭曲、毛糙68例(64.8%),黏膜破坏中断32例(30.5%),小溃疡18例(17.1%),蠕动减弱92例(87.7%),钡点滞留18例(17.1%)。临床表现中吞咽梗阻或大块食物梗阻感约55%,咽喉部干涩及紧缩感25%,食管异物感20%,胸骨后不适或闷胀5%。结论:早期食管癌有相应的X线改变,再结合临床表现部分早期病变可以得到早期诊断。

Objective： To analyze medical records retrospectively in order to improve the early diagnosis of esophageal cancer. Methods： To study X - ray findings and clinical performances of 105 cases with early esophageal cance. Results： X - ray signs： limitations of the rigid wall 25 cases （23.8%） , small filling defect in 19 cases （ 18.1% ） , mucous membrane thickening, distorted, rough 68 cases （64. 8% ）, mucosa damage interrupted 32 cases （30. 5% ）, small ulcer in 18 cases （ 17.1% ）, wiggle weakened 92 cases （87.7%）, barium stranded in 18 cases （17.1%）. Clinical performances： swallow hard resistance or obstruction bulk food flu about 55 percent, the ministry of interfering in the throat and flu austerity 25 percent, 20 percent of esophageal foreign body sensation, retrosternal discomfort or nausea expansion of 5%. Conclusion：Early esophageal cancer has a corresponding X - ray change, combined with clinical manifestations of early lesions, a part of patients can be early diagnosed.