胃粘膜肠化X线诊断和病理实验研究

Roentgeno-pathologic Study of Gastric Mucous Membrane with Intestinal Metaplasia

收集375例胃癌切除标本,用X线和病理对照的方法,观察了胃小区结构和肠化的关系。实验表明,随着肠化程度的加重,胃小区增大,胃小沟变宽;肠化可以表现为增生型,萎缩型。糜烂型和正常型,而以前两种多见。肠化的部位对胃小区类型均有一定影响,而X线检查仅可能诊断中度和重度肠化病例。

Seventy-five surgical specimens of gastric cnacer had been collected and investigated by means of rocntgeno-pathologic contrast to determine the relationship between morphologic pattern of arese gastrica and intestinal metaplasia. The experiment showed that as the degree of intestinal metaplasia increased, the areas gastrica became larger and gastric grooves became wider. The patterns of intestinal metaplasia manifested as hyperplastic type, atrophic type ulcerous type or norml, and the most common one was a combined pattern of hyperplastic and atrophic types. The location of intestinal metaplasia has some influences on the pattern of areas gastrica and tha x-ray examination can only give a diagnosis of moderate to severe degree of intestinal metaplasia.