气钡双重造影对贲门癌的诊断与病理基础分析

Diagnosis of carcinoma of gastric cardia in double -contrast Radiography and analysis of its pathologic basis

目的:探讨贲门癌气钡双对比造影的X线征象。方法:收集我院2002～2007年经手术病理或内镜活检证实的124例贲门癌病例,对其气钡双重造影的征象进行回顾性分析。结果:贲门区软组织肿块72例,胃底溃疡64例,食管下段受累48例,钡剂分流118例。结论:贲门癌的X线表现具有一定的特征性,传统上消化道钡餐造影对中晚期贲门癌易检出。早期需要结合胃镜及CT扫描。

Objective： To explore X-ray manifestation of carcinoma of gastric eardia in double-contrast Radiography. Methods： 124 eases of carcinoma of gastric eardia proved by endoscopic biopsy or surgical pathology in our hospital from 2002 to 2007 year were collected, their X-ray signs were analyzed. Results： Soft tissue mass in the cardiac area was revealed in 72 eases, gastriculcer in 64 eases, lower esophageal involvement in 48 eases, barium diversion in 118 cases. Conclusion： X-ray manifestation of carcinoma of gastric eardia has some characteristic. For advanced carcinoma of gastric cardia, it is easy to detected by traditional upper gastrointestinal X-ray. Endoscopy and CT are needed for early cases.