22例胃窦癌气钡双重造影与CT扫描的对比分析

Comparative analysis on double contrast radiography and CT scan in 22 cases of gastric antrum cancer

目的:探讨CT及X线气钡双重造影对胃窦癌的诊断价值。方法:分析22例胃窦癌CT及气钡双重造影资料,评价其放射诊断意义。结果:造影发现早期胃窦癌4例,漏诊1例;CT发现早期胃窦癌1例。造影及CT明确诊断17例进展期胃窦癌,其中CT发现周围脏器累及5例,淋巴结转移及远处转移8例。结论:CT检查可显示胃窦癌及其与周围脏器的关系,气钡造影易于发现早期,对进展期的病理形态显示较好,对胃周情况不能观察。

Objective To study the value of double contrast radiography and CT diagnosis in the gastric autrum cancer.Method Analysis of double contrast radiography and CT imaging of 22 cases of gastric antrum cancer,the significance of radiological diagnosis was evaluated.Results Four cases of early gastric antrum cancer were found by radiography,missed 1 case;only 1 case of early gastric antrum cancer was found by CT.Seventeen cases of advanced antrum gastric cancer were found by CT and radiography,CT examination found 5 cases of the perigastric organs involvement,8 cases of lymph node metastasis and distant metastasis.Conclusion CT scaning can exhibit gastric antrum cancer and its relationship with the surrounding organs,radiography can find early gastric antrum cancer easily and exhibit the pathological form of advanced gastric antrum cancer finely,but the perigastric situation can not be observed.