超声与X线钡透对贲门占位病变的诊断对照

Diagnosis contrast of space - occupying lesion in the cardiac with ultrasonography and X - ray

目的探讨超声与x线钡透对贵门区占位病变诊断价值。方法常规检查肝胆胰脾，重点检查食管、贲门、胃和腹主动脉等情况。然后饮水400ml以上，仔细观察食管贲门及胃壁胃腔等情况。结果217例责门区实质性占位病变均经手术或胃镜病理证实。贲门癌128例，食管贲门癌64例，贲门失弛缓症25例，超声诊断符合率93％（201／217），X线钡透86％（187／217），经统计学处理两者无明显差异，P〉0．05。结论B超能清晰显示食管腔内径和管壁各层结构，对病变部位、范围、病变的大小、外浸润的程度以及有无转移，显示清晰，为诊断与治疗提供可靠的依据。

Objective To investigate diagnostic value of loci in the cardiac with uhrasonography and X - ray. Methods 217 cases of loci in the cardiac were examined with eolour Doppler ultrasonography. Liver ,gallbladder ,pancreas ,spleen were routinely tested, esophagus, cardiac ,stomach ,abdominal aorta were mainly observed, then drink water over 400 mi, observe esophagus ,cardiac ,stomach membranes and stomach cavity. Results All cases proved by surgery or gastroseopy pathological, including 128 cases of cardiac carcinoma, 64 cases of esophagus and cardiac carcinoma,25 cases of achalasia. The accuracy for diagnosis in Ultrasonography was 93% （201/217）and 86% （187/217） respectively in X - ray, without significant difference （P 〉 0.05 ）. Conclusions B - mode could clearly reveal the structure of esophagus, and show clearly the location size the extent, degree of infiltration and metastasis or not, can provide reliable evidences for diagnosis and treatment.