X线胃精细钡气造影对胃癌的诊断价值

Diagnostic value of gastric carcinoma by X- ray double contrast barium examination

目的探讨X线胃精细钡气造影对胃癌的临床诊断价值。方法选取住院接受手术治疗的胃癌患者76例,患者术前均行胃精细钡气造影X线检查,并与患者的术后病理检查结果进行对比分析。结果 76例患者中,65例患者X线诊断为疑似胃癌或者胃癌,其中45例患者为溃疡型胃癌,12例患者为蕈伞型胃癌,8例患者为肿块型胃癌;6例患者X线诊断为糜烂性胃炎或者良性胃溃疡;5例患者发生漏诊;X线诊断胃癌的检出率为85.5%。结论 X线胃精细钡气造影检查可以有效地提高胃癌的临床检出率,与病理检查结果相结合,可以对胃癌做出准确的诊断。

Objective To investigate the diagnosis value of gastric carcinoma by X - ray double contrast barium examination. Methods The clinical data of 76 cases of gastric carcinoma which were hospitalized and operated were collected and analyzed. All of them were tested by X - ray double contrast barium. The X - ray result were compared with pathological results. Results 65 cases were diagnosed as gastric carcinoma or suspected gastric carcinoma by X - ray. Among all patients, 45 cases were ulcerous gastric cancer, 12 cases were fungating type, and mass type 8 cases. 6 cases were diagnosed as erosive gastritis or benign gastric ulcer by X - ray. 5 cases were misdiagnosed. The correct diagnosis rate was 85.5 % by X - ray. Conclusion X - ray double contrast barium can effectively improve the clinical detection rate of gastric carcinoma. It can make accurate diagnosis combined with pathological examination. So more attention and clinical application should be paid to the test of X - ray double contrast barium.