| 陈棣华,陈金城.常见胃肠道良性隆起性病灶的影像诊断[J].中国医学影像技术,1998,14(6):451~453 |
| 常见胃肠道良性隆起性病灶的影像诊断 |
| Imaging Diagnosis of Common Benign Prominent Focus of GI |
| 投稿时间：1998-01-26 |
| DOI： |
| 中文关键词: 胃肠道 良性隆起性病灶 影像诊断 |
| 英文关键词:Gastro intestinal tract Benign protruding lesion Imaging diagnosis |
| 基金项目: |
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| 中文摘要: |
| 目的：主要探讨胃肠道息肉之少见情况及肿块状胃底静脉曲张的影像诊断问题。方法：收集经病理证实的胃肠道良性隆起性病灶, 包括胃肠道息肉404例, 平滑肌瘤19例, 脂肪瘤1例, 肿块状胃底静脉曲张2例。检查方法包括胃肠道气钡低张双重造影, 部分病例作了超声及CT检查。结果：胃肠道息肉中, 腺瘤性息肉216例, 炎性息肉114例, 增生性息肉48例, 幼年性息肉14例, 乳头状腺瘤2例, 绒毛状腺瘤10例。色素沉着-胃肠道多发性息肉综合征(Peutz-Jeghers综合征)3例, 均为年青女性患者, 胃、小肠之隆起性病灶, 最大直径1.3cm, 小者0.1～0.2cm, 病灶中央见“靶征”.绒毛状腺瘤病灶最大6cm×8cm, 最小1.5cm×2cm, 边缘呈分叶状6例, 1例伴有较大溃疡。息肉癌变13例, 发生于直肠者占9例。较为特别的是本组息肉癌变病例中, 2例为多发, 各仅一处息肉有恶变。病灶基底部肠壁切迹样凹入及顶部出现溃疡是息肉恶变的征象。2例肿块状静脉曲张, 单独发生于胃底, 而食管表现正常。结论：胃肠道双重造影仍然是诊断胃肠道良性隆起性病灶的首选、安全而准确的方法。而影像学检查方法的综合应用, 对于提高胃肠道良性隆起性病灶的诊断有重要意义。 |
| 英文摘要: |
| Purpose:Unusual manifestation of GI polyp and imaging diagnosis of phymatoid varicose of fundus of stomach are mainly discussed. Methods:The pathological confirmed bengin prominent foci of GI were collected,including 404 cases of GI polyps,19 cases of liomyoma,1 case of lipoma,2 cases of phymatoid varicose of fundus of stomach.The examinations include barium air contrast radiography,ultrasound and CT in some patients.Result:Among the GI polyps,216 cases were adenomatoid polyps,114 were inflammatory polyps,48 cases were hyperplastic polyps,14 were juvenile polyps,2 were papillary adenoma and 10 were villous adenoma.And also 3 young women were Peutz Jeghers syndrome.The diameter of the prominent focus on stomach,small andlargeintestine was 1.3cmtomaximum and 0.1cm 0.2cm to minimun,and “targetsign” was seen in the center part of the focus.The largestsize of thevillous adenoma was 6cm×8cm,and the smallest was 1.5cm×2cm,6 cases was showed lobulated edge,and 1 case combined with large ulcer.Thirteen cases polypous cancerization,9 of them was seen on rectum.Among the polypous cancerization in this study,it was special that only one part of the multiple polyps occurred canceration in 2 cases respectively.The intestinal wall of the focus base became indented like a notch and the top part showed ulcer,which were the signs indicating canceration.Tow cases phymatoid varicose occurred lonely on the fundus of stomach,the appearance of esophagus were normal,Conclusion:GI double contrastradiography is still the first chosen,safe and accurate method for digagnosis of the GI benign prominent focus.To raise the diagnosis of GI benign prominent focus,it issignificant to use imaging examinations comprehensively. |
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