早期胃癌的X线诊断(附18例分析)

X—ray Diagrosis of Early Gastric Cancer (18—Case Analyses Attached)

本文对18例早期胃癌进行回顾性分析,探讨了早期胃癌各型的X线表现,鉴别诊断和早期胃癌的X线检查方法等问题,指出X线和胃镜检查在早期胃癌诊断上的作用各有优缺点,强调胃镜和全面详尽的X线检查方法联合应用是避免遗漏病变,提高早期胃癌检出率的最佳方案。为了更好地发挥X线在早期胃癌中的诊断作用,应进一步提高双重对比造影的质量。病灶过小,位于贲门的早期癌是X线漏诊的重要原因。

This article analyses 18 cases of early gastric cancer retrospectively, approaches various x-ray manifestations, differential diagnosis and x-ray examination methods for it, demonstrates that both x-ray and gastroscopy have their own advantages and disadvantages respectively in the diagnosis of early gastric cancer, and stresses that the combinative application of comprehensive and thorough x-ray examination and gastroscopy is the best choice to avoid omissive pathological changes and improve the examined results of early gastric cancer. The quality of double-contrast gastrography should be further improved so as to develop the application of x-ray for the diagnosis of early gastric cancer. The smallest focus is an important reason for x-ray to miss the diagnosis for early cardia cancer.