残胃癌与残胃假肿瘤放射诊断  

X-ray Diagnosis of Gastric Stump Cancer and Pseudotumor

作　　者：张忠嘉[1] 胡玉敏[1] 王金重[2] 

机构地区：[1]北京友谊医院放射科 [2]北京友谊医院外科

出　　处：《北京医学》1990年第6期353-355,共3页Beijing Medical Journal

摘　　要：本文报告7例原发性残胃癌(占同期溃疡病手术的1.9％),9例残胃假肿瘤(占同时胃手术病例的8.5％)。分别讨论了这两种并发症的定义,发病机理,X线检查方法与价值,并着重讨论X线特征与鉴别诊断。 残胃癌好发于残胃吻合口部,其次为贲门部。早期残胃癌与早期胃癌表现一致。进展期以Bormann氏Ⅲ型为多。限局性充盈缺损时要与残胃假肿瘤鉴别。假肿瘤都位于残胃吻合口,轮廓光滑、胃壁柔软,粘膜无破坏。Seven cases of primary gastric stump cancer (it made up 1.9 percent of the operation for gastric and duodenal ulcer) and nine cases of gastric stump pseudotumor (it made up 8.5 percent of gastric operation) are reported. The definition, pathogenesis x-ray examination techniques and its value, especially x-ray features and differential diagnosis for these two complications are discussed.Most cases of gastric stump cancer were found at the area of gastric anastomosis and then, at cardiac area.The findings of early gastric stump cancer were same with early gastric cancer.The Bormanns type 3 cases were found mostly in advanced cancer.The sign of localized filling defect should be differentiate with gastric stump pseudotumor. The psaudotumors are always situated at gastric anastomosis,their contours are smooth,the gastric walls are soft, and the mucosa remained undamaged.

关 键 词：残胃癌 残胃假肿瘤 X线诊断 

分 类 号：R735.204[医药卫生—肿瘤]