实用医技杂志
實用醫技雜誌
실용의기잡지
JOURNAL OF PRACTICAL MEDICAL TECHNIQUES
2015年
2期
126-128
,共3页
上消化道%诊断%胃镜
上消化道%診斷%胃鏡
상소화도%진단%위경
Upper gastrointestinal%Diagnosis%Endoscopy
目的：探讨X线钡餐检查和CT检查、消化道内镜检查这3种重要的诊断消化道疾病的方法在诊断胃癌时的应用价值。方法对患者先进行上消化道X线钡餐检查，疑有早期胃癌者，先做内镜检查，电子胃镜检查是在直视下观察黏膜并可对病变黏膜取活检。再做上腹部CT扫描，以确定病变部位、范围和性质。结果 X线钡餐检查可观察胃腔内肿块及周围黏膜形态、排空时间，并可动态观察胃壁柔软度及蠕动情况。电子胃镜检查是在直视下观察黏膜并可对病变黏膜取活检，对诊断黏膜病变敏感度、灵敏度高；CT检查可了解病变累及胃壁的程度及向腔外发展情况，邻近组织器官有无受侵及，有无血行、淋巴转移。结论 X线钡餐造影、CT扫描、消化道内镜检查是3种重要的诊断消化道疾病的方法，他们的原理不同，在诊断上消化道疾病时各有其优缺点。
目的：探討X線鋇餐檢查和CT檢查、消化道內鏡檢查這3種重要的診斷消化道疾病的方法在診斷胃癌時的應用價值。方法對患者先進行上消化道X線鋇餐檢查，疑有早期胃癌者，先做內鏡檢查，電子胃鏡檢查是在直視下觀察黏膜併可對病變黏膜取活檢。再做上腹部CT掃描，以確定病變部位、範圍和性質。結果 X線鋇餐檢查可觀察胃腔內腫塊及週圍黏膜形態、排空時間，併可動態觀察胃壁柔軟度及蠕動情況。電子胃鏡檢查是在直視下觀察黏膜併可對病變黏膜取活檢，對診斷黏膜病變敏感度、靈敏度高；CT檢查可瞭解病變纍及胃壁的程度及嚮腔外髮展情況，鄰近組織器官有無受侵及，有無血行、淋巴轉移。結論 X線鋇餐造影、CT掃描、消化道內鏡檢查是3種重要的診斷消化道疾病的方法，他們的原理不同，在診斷上消化道疾病時各有其優缺點。
목적：탐토X선패찬검사화CT검사、소화도내경검사저3충중요적진단소화도질병적방법재진단위암시적응용개치。방법대환자선진행상소화도X선패찬검사，의유조기위암자，선주내경검사，전자위경검사시재직시하관찰점막병가대병변점막취활검。재주상복부CT소묘，이학정병변부위、범위화성질。결과 X선패찬검사가관찰위강내종괴급주위점막형태、배공시간，병가동태관찰위벽유연도급연동정황。전자위경검사시재직시하관찰점막병가대병변점막취활검，대진단점막병변민감도、령민도고；CT검사가료해병변루급위벽적정도급향강외발전정황，린근조직기관유무수침급，유무혈행、림파전이。결론 X선패찬조영、CT소묘、소화도내경검사시3충중요적진단소화도질병적방법，타문적원리불동，재진단상소화도질병시각유기우결점。
Objective To study the diagnostic value of X-ray barium meal examination, CT and gastrointestinal endoscopy which are three kinds of important method in the diagnosis of digestive tract diseases in the diagnosis of gastric cancer. Methods All patients were examinated by upper gastrointestinal barium meal firstly , the patients suspected of early gastric cancer underwent endoscopy examination. Electronic gastroscopy was to observe the mucosa under direct vision and get the lesions of mucosal biopsy. Next, CT scan of the abdomen was adopted to determine the lesion site, scope and nature. Results X-ray barium meal examination could observe the gastric cavity tumor and surrounding mucosa, emptying time, and observe the softness and the movement of stomach. Electronic gastroscopy was to observe the mucosa under direct vision and get the lesions of mucosal biopsy in the diagnosis of mucosal lesions , and had high sensitivity; CT examination could display the involvement of the degree and the development to the outside of the cavity, whether or not the adjacent tissue organ was invaded, and whether blood, lymphatic metastasized or not. Conclusion X-ray barium meal radiography, CT scanning, gastrointestinal endoscopy are three kinds of important method in the diagnosis of digestive tract diseases, their principle are different, each has its advantages and disadvantages in the diagnosis of digestive tract diseases.
