上消化道钡餐造影与螺旋CT对胃底贲门癌的诊断价值

The diagnostic value of upper gastrointestinal barium meal radiography and spiral CT in gastric cardia carcinoma

目的比较上消化道钡餐造影与螺旋CT对胃底贲门癌的影像学表现,提高其临床诊断和治疗价值。方法回顾性分析35例由手术病理证实的胃底贲门癌患者,手术前均行上消化道钡餐造影和CT增强检查,分为钡餐组与CT组。比较两组患者的黏膜病变、胃泡内软组织肿块、恶性龛影、胃壁增厚及食管下端变窄的检出率。结果与CT组相比,钡餐组患者的黏膜病变(χ2=21.361,P=0.006)、胃泡内软组织肿块(χ2=11.423,P=0.015)、恶性龛影(χ2=13.217,P=0.012)的检出率均明显增加,而胃壁增厚(χ2=19.124,P=0.008)的检出率减少,食管下端变窄(χ2=5.498,P=0.063)的检出率无差异。结论胃底贲门癌患者应结合上消化道钡餐造影和螺旋CT检查,从而提高贲门癌的临床诊断与愈合价值。

Objective To improve the clinical diagnostic and treatmental value of the disease, by comparing the upper gastrointestinal barium meal radiography and spiral CT in gastric cardia cancer diagno comparison, raising awareness of the disease. Methods Thirty-five pathologically confirmed cardia carcinoma patients patients were retrospeetively ana lyzed, all of them before operation had performed upper gastrointestinal barium meal and barium enhanced CT examina tion,divided intobarium meal group and CT group. Comparing the detection rate in two groups patients of mucosal le sions, stomach bubble within the soft tissue mass, malignant niche, and thickening ofthe gastric wall and lower esophageal narrowing. Results Compared with CT group,the detection rates were significantly increased,including barium meal group patients with mucosal lesions （x^2=21.361 ,P = 0.006）, stomach bubble within the soft tissue mass （x^2= 11.423 ,P = 0.015）, and malignant niche （x^2= 13.217, P = 0.012）,while the detection rate of wall thickness reduce（x^2=19.124, P = 0.008）, lower esophageal narrowing had no difference （X^2= 5.498,P = 0.063）. Conclusion To improve the clinical diagnostic and treatmental value of he disease, gastric cardia carcinoma patients should be combined with upper gastrointestinal barium meal radiography and spiral CT examination.