徐荣天,李佩玲,李红.限局性胃壁伸展不良征对较小早期胃癌的诊断价值[J].中国医学影像技术,2004,20(1):15~16
限局性胃壁伸展不良征对较小早期胃癌的诊断价值
Local rigidity sign of gastric wall on diagnosis of small early gastric cancer
  
DOI:
中文关键词:  早期胃癌  双对比造影  X线诊断
英文关键词:Early gastric cancer  Double contrast examination  X-ray diagnosis
基金项目:
作者单位
徐荣天 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 
李佩玲 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 
李红 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 
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中文摘要:
      目的 探讨限局性胃壁伸展不良征对较小早期胃癌的诊断价值。方法 收集24例资料完整的早期胃癌,对其行X线双对比造影片与胃切除标本对照,分析造影所见及其病理基础。结果 24例全部为病灶小于2cm的表面型早期胃癌,均表现为胃大、小弯轮廓线某一局部的轻微凹陷。凹陷的局部轮廓线可呈现单层或双层外观。凹陷程度与癌浸润深度有关;凹陷式样(单层或双层)与病变宽径有关。 结论 良好的双对比造影对仅表现为限局性胃壁伸展不良的较小早期胃癌具有较高的诊断能力。
英文摘要:
      Objective To explore the value of local rigidity sign of gastric wall on diagnosis of small early gastric cancer. Methods Twenty-four cases of early gastric cancer were collected and all cases accepted X-ray double contrast examination of stomach. The image findings and pathological results were analysed. Results All lesions were supficial type early gastric cancer smaller than 2 cm and showed local slight concave in gastric contour of small curve and large curve. The lesions might show single or double layers. The degree of concave had relationship with the tumor invasion depth. The type of concave was related to the lesion width. Conclusion A better image of double contrast of stomach possesses a higher diagnostic ability to small early gastric cancer only showing local rigidity sign of gastric wall.
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