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目的 :介绍食管钡餐连续摄影用于诊断早期食管癌的初步临床应用。方法 :用德国产的数字化胃肠机检查并诊断了 6例早期食管癌病人。与常规食管双重对比造影类似 ,病人立位口服钡剂 ,同时进行连续摄影 ,速度为 2帧 s,持续约 10s。观察不同的时相 ,包括充盈相、黏膜相和双对比相。结果 :在 6例病人中可见食管功能的改变及黏膜皱襞的病变 ,用连续摄影诊断后经内镜及病理检查确诊。 4例病人有轻度扩张受限 ,2例病人有痉挛性收缩 ,1例有钡剂滞留。 6例病人中均可见增粗的或中断的黏膜。 5例病人可见小溃疡。结论 :食管钡餐连续摄影可提供更全面的信息。用此法更可提供食管功能性的改变。
Objective: To introduce the preliminary clinical application of continuous esophageal barium photography in the diagnosis of early esophageal cancer. Methods: Six German patients with early esophageal cancer were diagnosed and diagnosed by digital gastrointestinal machine. Contrast with the conventional esophageal contrast contrast, the patient standing oral barium, while continuous photography, the speed of 2 frames s, lasted about 10s. Observe different phases, including filling phase, mucosal phase and double contrast phase. Results: Esophageal function changes and pathological changes of mucosal folds were observed in 6 patients, which were diagnosed by endoscopic and pathological examination after continuous photography. 4 patients had mild dilation limited, 2 patients had spasmodic contractions, 1 patient had barium retention. 6 cases of patients can be seen thickening or interrupted mucosa. 5 patients showed small ulcers. Conclusion: Continuous barium esophageal photography can provide more comprehensive information. Use this method can provide esophageal functional changes.