CAJ | 학술논문

目的提高对胃大部术后胃内植物石患者影像学表现的认识,降低误诊率.方法回顾性分析5例经纤维胃镜证实的胃大部术后胃内植物石患者的影像表现.结果 5例患者X线钡餐造影均显示胃内充盈缺损,4例示充盈缺损可以随体位改变而改变,并可悬浮于钡剂上层,1例形态不规则,位于胃吻合口处固定,钡剂排空迟缓.4例内科治愈,1例外科手术治愈.结论胃大部术后患者胃内植物石的发病率较低,但由于手术改变了正常的胃腔解剖结构易误诊,特别是胃癌术后的患者易误诊为胃癌复发,其影像表现对于纠正误诊有重要意义.
목적 제고대위대부술후위내식물석환자영상학표현적인식,강저오진솔.방법 회고성분석5례경섬유위경증실적위대부술후위내식물석환자적영상표현.결과 5례환자X선패찬조영균현시위내충영결손,4례시충영결손가이수체위개변이개변,병가현부우패제상층,1례형태불규칙,위우위문합구처고정,패제배공지완.4례내과치유,1예외과수술치유.결론 위대부술후환자위내식물석적발병솔교저,단유우수술개변료정상적위강해부결구역오진,특별시위암술후적환자역오진위위암복발,기영상표현대우규정오진유중요의의.
Objective To improve the cognition to ultrasonographic reports of patients whose stomachs contain plant-stone after B' s operation and to reduce the rate of misdiagnosis.Methods The ultrasonographic reports of 5 patients confirmed to suffer gastric plant-stone after B' s operation through fiber-scope were reviewed and analyzed.Results The X-rays of barium meal showed their stomach all defective.Defection of 4 cases can change with the body position,and can suspend above the barium.1 case shape was abnormal,locating in the inosculation of the stomach.The exclusion of the barium was very slow.4 cases were healed through medicine and the rest one was healed by surgical-operation.Conclusion The incidence of the gastric plant-stone after B' s operation is low,but it is easily misdiagnosed because the surgical-operation often changes the normal structure of the stomach,especially to the patients of gastric carcinoma who are often misdiagnosed as recurrence.The cognition of ultrasonographic is very important to correct the misdiagnosis.