胃底静脉曲张的影像诊断(附17例报告)  

Imaging Diagnosis of Gastro - fundic Varices: Preliminary Report of 17 Cases

作　　者：余秉祥[1] 刘宏 武小强[1] 蒋维祥 

机构地区：[1]山西省中医药研究院,太原市030012

出　　处：《实用医学影像杂志》1997年第4期30-32,共3页Journal of Practical Medical Imaging

摘　　要：目的:探讨CT在胃底静脉曲张的常规造影检查中作为辅助方法的重要性。材料与方法:报道了17例胃底静脉曲张的钡餐造影表现及其中2例的CT表现,患者年龄30～81岁,平均5O岁,男性15例,女性2例。全部病人经受低张双对比钡餐造影检查,其中2例加做CT检查。结果:钡餐造影表现:胃底粘膜皱襞粗大、迂曲、相互重叠,形成不规则充盈缺损,呈现所谓“假肿瘤样”表现,以贲门为中心延伸至胃底全部,有时胃空泡内可见软组织结节影。CT表现:食管与胃底后壁间簇集有圆形或结节状软组织密度影,造成胃底内腔壁不规则。结论:当静脉曲张病人出现了胸腔纵膈、脾、肾及后腹膜等部位的异常团块时,应通过CT扫描作出确诊。Purpose: To explore the importance of CT scann taken as an auxiliary method in the diagnosis of patients with gastro - fundic varices. Materials and Methods: The findings of barium meal radiographic examination and/or CT scanning in 17 patients in whom male and female were 15 and 2 cases, respectively, and whose age ranged between 30 - 81 years with a mean age of 50 years were reported. All patients initially underwent barium meal radiography with hypotonic double contrast: 2 patients of them underwent additional CT scanning. Results: Findings of barium meal radiography were mainly various changes occurred in gastro - fundic mucosal fold, such as thickening, flexing or overlapping each other and formed an irregular filling defect with “ Pseudotumorlike” appearance or extended from cardia into whole gastro - fundus, in some cases, nodal shadow of soft tissue can be found in gastric vacule. CT findings were round or nodal - form shadow with soft tissue density collected between esophagus and gastro - fundic posterius wall and the irregularity of gastro - fundic ento - cavitary wall. Conclusion: when mass occur by the side of esophagus in thoracic cavity or abnormal mass occur in spleen, kidney, post - peritoneum, it should perform CT scanning to elevate the accuracy of diagnosis.

关 键 词：胃底静脉 静脉曲张 钡餐造影 CT 

分 类 号：R8[医药卫生—临床医学] R4