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目的 回顾分析十二指肠癌病人的X线表现 ,并结合超声 ,内镜进行分析。方法 5例中 4例进行X线检查 ,1例低张造影 ,其中X线与B超确诊 1例 ,X线与内镜确诊 1例 ,CT诊断幽门梗阻 1例。结果 X线检查 4例 ,发生在十二指肠 ,降段可见不规则狭窄 ,僵硬 ,1例发生在十二指肠球部 ,显示环行狭窄 ,X线及手术误诊为十二指肠溃疡。结论 X线检查比超声、CT、内镜检查更有效的显示十二指肠癌的异常表现 ,X线检查能做到对十二指肠癌的诊断与鉴别诊断。
Objective To retrospectively analyze the X-ray findings of patients with duodenal cancer and combine ultrasound with endoscopy for analysis. Methods X-ray examination was performed in 4 of 5 cases, 1 case of low-contrast angiography, of which 1 case was diagnosed with X-ray and B-ultrasound, 1 case was diagnosed with X-ray and endoscopy, and 1 case was diagnosed with CT for pyloric obstruction. RESULTS Four cases of X-ray examination occurred in the duodenum. The descending segment showed irregular stenosis and stiffness. One case occurred in the duodenal bulb, showing a circular stenosis. X-ray and surgery were misdiagnosed as duodenal ulcer. Conclusion X-ray examination is more effective than ultrasound, CT, and endoscopy in displaying the abnormal performance of duodenal cancer. X-ray examination can be used to diagnose and differentially diagnose duodenal cancer.