胃前壁癌肿在双对比造影中的影像特征(附35例分析)  

Characteristics of Anterior Gastric Wall Cancer by Double Contrast Radiography

作　　者：李江红 黄新菊 卢任华[2] 

机构地区：[1]乌鲁木齐铁路中心医院放射科,新疆乌鲁木齐830011 [2]第二军医大学附属长海医院影像科

出　　处：《中国医师杂志》2003年第2期162-164,共3页Journal of Chinese Physician

摘　　要：目的　通过分析胃前壁癌肿在双对比造影 (DC)中的X线征象 ,提高对其影像特征的认识。方法　复查分析经术前、手术和病理证实 ,均做了DC的胃前壁癌肿 3 5例。结果　悬滴、白雾状影、重叠白线及线征 4个征象的出现率分别达 78%、94%、66%、88%。当癌肿累及大小弯侧时 ,还可出现腔壁多边征。如能确定上述征象中的 1、2个对诊断有重要意义。结论　胃前壁癌肿在DC中有其特征性的影像表现 ,注意观察并充分认识上述征象及其周围组织结构的变化 ,并紧密结合临床综合分析 ,有助于提高术前诊断的准确性。Objective To analyze the double contrast(DC) imaging of anterior gastric wall cancer,in order to raise the knowledge of the imaging feature.Methods DC examination was confirmed by clinical data check and pathology before the operation in 35 cases of anterior gastric wall cancer.Results Occurence rates of hanging droplets,white foggy phonomen,overhanging white line and linear signs were 78%,94%,66% and 88%,respectively.Multiple mural lines would appear if the stomach greater or lesser curvature was involved with cancer.When one or two signs of them was defined,it has important significance to diagnose.Conclusions DC imaging has characteristic manifestation in diagnosis of the anterior gastric wall cancer.In combination of cautiously observation,fully recognization on all sings,changes of peripheral tissues structure imaging in cancer lesion situs and along with comprehensive clinical analysis could raise the accuracy in diagnosis of the anterior gastric wall cancer,before the stomach cancer operation.

关 键 词：胃前壁癌肿 双对比造影 影像特征 诊断 胃癌 X线征象 

分 类 号：R735.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]