摘要
目的:分析乳头状食管癌与息肉样平滑肌瘤X线征象,提高对该类型食管良恶性肿瘤的诊断及鉴别能力.方法:通过食管双对比造影检查并经病理证实发现,乳头状食管癌23例,息肉样平滑肌瘤11例,对其X线征象进行分析,归纳其特点.结果:在乳头状食管癌23例中,边缘伴切迹或分叶状17例(73.9%),轮廓线扭曲、粗细不均19例(82.6%),钡剂涂抹为颗粒或地图状17例(73.9%),管壁僵直15例(65.2%),形态呈"双环"征9例(39.1%);11例息肉样平滑肌瘤中,边缘规整、圆滑8例(72.7%),轮廓线锐利、均匀呈素描线条状9例(81.8%),钡剂涂抹呈淡薄均匀的水墨画样9例(81.8%),其中显示正常黏膜的5例(45.5%),管壁柔软8例(72.7%).结论:X线钡餐检查对于早期乳头状食管癌与息肉样平滑肌瘤的诊断及良恶性鉴别具有重要价值.
AIM： To analyze the X-ray imaging features of esophageal papilloma and polypoid leiomyoma to improve the diagnosis of the two diseases.METHODS： Twenty-three patients with esophageal papilloma and 11 patients with polypoid leiomyoma undergoing double-contrast radiography of the esophagus and pathological examination were analyzed in this study.The X-ray imaging features of the two diseases were summarized.RESULTS： Of 23 cases of esophageal papilloma,17 （73.9%） showed marginal notches or lobulations,19 （82.6%） showed a twisted contour line and uneven thickness,17 （73.9%） showed a granular or map-like appearance of barium meal,15 （65.2%） had rigid vein walls,and 9 （39.1%） demonstrated a ＂double-ring＂ appearance.Of 11 cases of polypoid leiomyoma,8 （72.7%） had a regular and smooth edge,9 （81.8%） had a sharp and even contour line,9 （81.8%） demonstrated a thin wash-like appearance of barium meal,and 8 （72.7%） had soft vein walls.CONCLUSION： Barium meal X-ray examination plays an important role in diagnosing esophageal papilloma and polypoid leiomyoma.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第24期2589-2593,共5页
World Chinese Journal of Digestology
关键词
食管双对比造影术
乳头状食管癌
息肉样平滑肌瘤
X线征象分析
Double-contrast radiography of the esophagus
Esophageal papilloma
Polypoid leiomyoma
X-ray imaging feature
