食管息肉样隆起性病变X线诊断（附42例分析）  

X-ray Diagnosis of Polypoid Protuberant Lesions of Esophagus：An Analysis of 40 Cases

作　　者：鲁北[1] 

机构地区：[1]河北省邢台市人民医院放射科,河北邢台054031

出　　处：《实用放射学杂志》2011年第4期529-533,共5页Journal of Practical Radiology

摘　　要：目的 分析食管不同息肉样隆起病变的X线表现特点,以提高诊断符合率和良恶性鉴别水平.方法 经病理证实,通过食管低张双对比造影发现,病变直径＜3 cm的食管息肉样隆起病变42例,其中食管癌23例,平滑肌瘤11例,息肉 3例,食管囊肿、乳头状瘤、孤立性静脉瘤、炎性假瘤及恶性黑色素瘤各1例.对其X线表现进行回顾性分析.结果 在食管常见肿瘤中,食管癌诊断符合率91.3%,平滑肌瘤符合率90.9%,息肉为66.7%,在剩余的5例少见病中,总诊断符合率为40%.食管息肉样隆起病变的良恶性判断总正确率为90.5%.结论 X线钡餐检查在食管息肉样隆起病变中,对于食管癌和平滑肌瘤的诊断以及在鉴别肿瘤的良恶性方面具有重要价值.Objective To analyse X-ray characteristics of different esophageal polypoid protuberant lesions, so that to improve the diagnostic knowledge of this disease. Methods 42 cases with esophageal polypoid protuberant lesions confirmed by pathology and un- derwent esophageal double contrast radiography were analysed. The lesions were less than 3 cm in diameters, including esophageal cancer in 23 cases, leiomyoma in 11, polyp in 3, esophageal cyst, papilloma,isolated phlebangioma,inflammatory pseudotumor and malignant melanoma in one, respectively. X-ray findings of this diseases of this diseases were analyzed. Results The diagnostic corresponding rates were 91.3 %, 90.9 %, 66.7 % and 40 % for esophageal cancer, leiomyoma, polyp, and the other diseases respectively,with X-ray,the totally diagnostic corresponding rate was 90.5%. Conclusion X-ray barium meal examination plays an important role in diagnosing esophageal cancer, leiomyoma and other tumours.

关 键 词：食管 双对比X线造影术 病变 息肉样 隆起性 X线摄影 

分 类 号：R571[医药卫生—消化系统] R814.43[医药卫生—内科学]