洪小妮,洪楠,孙燕萍,罗德馨,杜湘珂.十二指肠球部充盈缺损影像分析(附12例报告并文献复习)[J].中国医学影像技术,1998,14(11):832~835
十二指肠球部充盈缺损影像分析(附12例报告并文献复习)
Image Analysis of Filling Defect of Duodenal Bulb (12 cases report and review)
投稿时间:1998-06-20  
DOI:
中文关键词:  十二指肠球部  充盈缺损  钡餐胃肠造影  CT
英文关键词:Duodenal  bulb  Filling  defect  Barium  gastrointestinal  CT
基金项目:
作者单位
洪小妮 北京医科大学人民医院放射科 
洪楠 北京医科大学人民医院放射科 
孙燕萍 北京医科大学人民医院放射科 
罗德馨 北京医科大学人民医院放射科 
杜湘珂 北京医科大学人民医院放射科 
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中文摘要:
      目的:讨论十二指肠球部充盈缺损的诊断和鉴别诊断。方法:共12例患者, 均进行钡餐造影检查, 其中6例进行CT检查。结果:分别对12例球部充盈缺损的影像表现进行分析。其中包括球部异物2例;淋巴瘤2例;腺瘤4例;低分化腺癌、类癌、胃窦癌脱入球部、胃息肉脱入球部各1例。钡餐造影显示了12个病变;CT检查的6例中, 显示5个病变, 其中1个漏诊因病变小于10mm.
英文摘要:
      Purpose:To discuss disagnosis and differential diagnosis of filling defect of duodenal bulb.Methods:In 12 patients with filling defect of duodenal bubl,All patients were performed with barium gastrointestinal,6 patients with CT.All cases were confirmed histological.Results:All patients images filling defect of duodennal bulb were analysed respectively.included:stomach stone in duodenal bulb(n=2);1yphoma (n=2);adenoma(n=4);low grade adenocarcinoma(n=1);carcinold(n=1);carcinoma of gastric antrum protrude into duodenal bulb(n=1);polyp of gastric antrum protrude into duodenal bulb(n=1).Barium gastro intestinal showed all lesion.CT showed 5 lesions,1 lesion was missed because lesion was less 10mm.Conclusion:Filling defect of duodenal bulb is rare,Barium gastrointestinal study is important to finding size and location of lesion and intraduodenal structure.CT may have significant impact on intramural or extraluminal extent and invasion of adjacent structures and distant metastasis.
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