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目的:探讨贲门癌的X线表现,提高对本病的认识。方法:回顾性分析经手术及病理证实的24例贲门癌的X线表现。结果:24例患者在钡餐造影检查中显示:黏膜异常增粗、紊乱、肥大,钡剂通过贲门缓慢,贲门痉挛,黏膜纠集、中断,食管下段充盈缺损(颗粒状、息肉状、边缘型),胃贲门区软组织肿块、分流征。结论:双对比造影时体位变换和流动技术的合理应用及胃泡充气良好是诊断贲门癌的关键技术。同时讨论本病的早期漏诊原因以及鉴别诊断。
Objective: To investigate the X-ray findings of cardia cancer and improve the understanding of the disease. Methods: X-ray findings of 24 patients with cardia carcinoma confirmed by surgery and pathology were retrospectively analyzed. Results: 24 patients showed barium meal angiography abnormal thickening, disorder, hypertrophy, barium through the cardia, cardia spasm, mucosal collection, interruption, filling the lower esophagus defect (granular, polypoid, marginal) Gastric cardia soft tissue mass, shunt sign. Conclusion: The double-contrast angiography is a key technique to diagnose cardia cancer because of the rational application of body position changing and flow technique and well-aerated gastric bubble. At the same time discuss the reasons for the early diagnosis of missed diagnosis and differential diagnosis.