胃底贲门下区癌30例X诊断分析

X-ray diagnosis of gastric carcinoma in subcardia region

目的:探讨胃底贲门下区癌肿的X线特征。方法:全部病例经过气钡双重造影检查及胃镜确诊,并经手术治疗,术后病理证实。结果:肿块型6例,平坦型3例,其中云雾样染钡区1例、树根样染钡区2例,溃疡型21例。不规则钡斑18例,类圆形钡斑4例,龛影周围黏膜变形、中断、均显示不同程度的"环堤征"。结论:半立左前斜位是显示胃底贲门下区癌的最佳体位。

Objectlve：To study the X-ray features of gastric carcinoma in subcardia region. Methods：30 patients with gastric carcinoma in subcardia region were diagnosed by double-contrast barium examination and gastroseopy, which eventually were confirmed by operation and pathology. Results：Based on X-ray appearance,carcinoma could be classified into 3 types：massive, plain and ulcerative type. Of the ulcerative type,the changes of gastric mucosa around niche were shown in all cases. Conclusion：The supine semi-upright LAO is an optimal position to show gastric carcinoma in subcardia region.