中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
17期
161-163,166
,共4页
X线%早期%食管癌%诊断%分析
X線%早期%食管癌%診斷%分析
X선%조기%식관암%진단%분석
X-ray%Early%Esophageal cancer%Diagnosis%Analysis
目的 探讨X线在早期食管癌诊断分析中的作用.方法 选取2013年6月~2014年6月期间在我院接受治疗的早期食道癌患者50例,所使用诊断仪器:上海XG-300D型医用X线诊断机,Toshiba影像增强电视系统对患者进行钡餐造影检查,回顾患者的基本临床资料及X线片诊断结果,对X线在早期食管癌诊断分析中的作用进行合理评价.结果 根据X线片诊断特征对患者进行划分,其中表现为黏膜皱襞改变患者共15例,其主要表现特征为局限性黏膜走行不稳,多变,黏膜皱褶增粗,迂回,中断,边缘毛糙,呈网状或颗粒状;表现出充盈缺损症状患者20例,其主要表现特征为肿物表现光滑、息肉样肿物突向管腔内,充盈缺损大小在0.5cm×0.5cm~1.0cm×1.0cm之间,基底部较为狭窄;表现出龛影患者13例,其主要表现特征为癌组织向腔内生长,边缘较不规则,底部可见溃疡,且溃疡大小凹凸不平、大小不等,约在0.2cm×0.2cm~0.5cm×0.5cm之间,形态不规则;表现出管壁改变患者共12例,其主要特征为管壁毛糙、不规则轮廓、且扩张程度较差;表现出管腔狭窄患者5例,其主要特征为病变呈局限性,且向心性,部分患者有时可见轻度痉挛.结论 对早期食管癌患者实施X线片诊断具有较好的临床效果,且该种诊断法操作简单,诊断准确有效,但在诊断过程中,对于检查医师及责任医师的要求较高,相关医师需对食管黏膜特征等进行充分掌握,以预防漏诊或误诊事件的发生.
目的 探討X線在早期食管癌診斷分析中的作用.方法 選取2013年6月~2014年6月期間在我院接受治療的早期食道癌患者50例,所使用診斷儀器:上海XG-300D型醫用X線診斷機,Toshiba影像增彊電視繫統對患者進行鋇餐造影檢查,迴顧患者的基本臨床資料及X線片診斷結果,對X線在早期食管癌診斷分析中的作用進行閤理評價.結果 根據X線片診斷特徵對患者進行劃分,其中錶現為黏膜皺襞改變患者共15例,其主要錶現特徵為跼限性黏膜走行不穩,多變,黏膜皺褶增粗,迂迴,中斷,邊緣毛糙,呈網狀或顆粒狀;錶現齣充盈缺損癥狀患者20例,其主要錶現特徵為腫物錶現光滑、息肉樣腫物突嚮管腔內,充盈缺損大小在0.5cm×0.5cm~1.0cm×1.0cm之間,基底部較為狹窄;錶現齣龕影患者13例,其主要錶現特徵為癌組織嚮腔內生長,邊緣較不規則,底部可見潰瘍,且潰瘍大小凹凸不平、大小不等,約在0.2cm×0.2cm~0.5cm×0.5cm之間,形態不規則;錶現齣管壁改變患者共12例,其主要特徵為管壁毛糙、不規則輪廓、且擴張程度較差;錶現齣管腔狹窄患者5例,其主要特徵為病變呈跼限性,且嚮心性,部分患者有時可見輕度痙攣.結論 對早期食管癌患者實施X線片診斷具有較好的臨床效果,且該種診斷法操作簡單,診斷準確有效,但在診斷過程中,對于檢查醫師及責任醫師的要求較高,相關醫師需對食管黏膜特徵等進行充分掌握,以預防漏診或誤診事件的髮生.
목적 탐토X선재조기식관암진단분석중적작용.방법 선취2013년6월~2014년6월기간재아원접수치료적조기식도암환자50례,소사용진단의기:상해XG-300D형의용X선진단궤,Toshiba영상증강전시계통대환자진행패찬조영검사,회고환자적기본림상자료급X선편진단결과,대X선재조기식관암진단분석중적작용진행합리평개.결과 근거X선편진단특정대환자진행화분,기중표현위점막추벽개변환자공15례,기주요표현특정위국한성점막주행불은,다변,점막추습증조,우회,중단,변연모조,정망상혹과립상;표현출충영결손증상환자20례,기주요표현특정위종물표현광활、식육양종물돌향관강내,충영결손대소재0.5cm×0.5cm~1.0cm×1.0cm지간,기저부교위협착;표현출감영환자13례,기주요표현특정위암조직향강내생장,변연교불규칙,저부가견궤양,차궤양대소요철불평、대소불등,약재0.2cm×0.2cm~0.5cm×0.5cm지간,형태불규칙;표현출관벽개변환자공12례,기주요특정위관벽모조、불규칙륜곽、차확장정도교차;표현출관강협착환자5례,기주요특정위병변정국한성,차향심성,부분환자유시가견경도경련.결론 대조기식관암환자실시X선편진단구유교호적림상효과,차해충진단법조작간단,진단준학유효,단재진단과정중,대우검사의사급책임의사적요구교고,상관의사수대식관점막특정등진행충분장악,이예방루진혹오진사건적발생.
Objective To study the effect of X-ray contrast on diagnostic analysis of early esophageal cancer.Methods50 patients with early esophageal cancer,who were treated in our hospital from June 2013 to June 2014,were selected and made barium meal examination with Toshiba radiography enhancing TV system,with the diagnosis instrument of type Shanghai XG-300D X-ray diagnosis machine.To retrospectively analyze the clinical data and the X-ray diagnosis results,to make X-ray rational evaluation on the analysis of early esophageal cancer.ResultsAccording to the X-ray diagnostic characteristics of patients,it was showed that,there were 15 patients with alterant mucosal fold,with the primary expressive characteristics of unstable line feed and mutable on boundedness mu cosa,thickening,circuitous,interrupt,rough edge,reticular or granular on mucosal reductus;There were 20 patients with filling defect,with the primary expressive characteristics of glabrous goitre,polypoid goitre process to lumen,the size of filling defect of 0.5cm×0.5cm-1.0cm×1.0cm,relatively stegnotic basal part; there were 12 patients with alterant tube wall,with the primary expressive characteristics of crude tube wall,irregular contour,poorer dilation degree;There were 5 patients with luminal stenosis,with the primary expressive characteristics of boundedness and centrality pathology,mild spasm in some patients.Conclusion X-ray contrast on the diagnosis of early esophageal cancer has better clinical effect,simple operation,accurate and effective diagnosis,has higher requirements on examination doctor and charge doctor,who should fully grasp the characteristics of esophageal mucosa to prevent the occurrence of missed diagnosis and misdiagnosis.
