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目的加深对胃石症影像学特征的认识。方法回顾性分析行上消化道钡餐造影、B超、CT检查10例胃石症患者的影像学表现。结果胃柿石6例、山楂石2例、毛发胃石2例;单发8例、多发2例。钡餐造影主要表现为胃内单发或多发圆形、椭圆形或形态不规则、边缘不规整的充盈缺损影,变换体位或用压迫器推压时均可见较大范围的滚动或移动,仅1例充填整个胃腔的毛发胃石单靠体位变动时移动不明显,充盈缺损影表面均可见不同程度的不规则条片状、斑点状或纵横交错的网格状钡剂涂布;B超表现为位于胃腔内液性暗区的单发或多发后方伴声影的强回声光团或强回声光带,变动体位或腹部加压振动时均可见较大范围的移动;CT主要表现为胃腔内混杂密度影,俯卧位扫描位置可变动。结论充分认识和认真分析胃石症的影像学特征有助于提高该病诊断水平。
Objective To deepen the understanding of the imaging features of gastropathy. Methods Retrospective analysis of the upper gastrointestinal barium meal, B ultrasound, CT examination of 10 cases of patients with gastroscopy imaging findings. Results: There were 6 cases of gastric persimmon stone, 2 cases of hawthorn stone and 2 cases of hair stomach stone; 8 cases were single and 2 cases were multiple. Barium meal imaging mainly for the stomach single or multiple round, oval or irregular shape, the edge of the irregular filling of the defect shadow, change the position or pressed with a large range of rolling or moving can be seen only 1 Cases of filling the stomach cavity of the hair stomach stone movement alone when the position is not obvious, filling the surface of the defect can be seen varying degrees of irregular strips, spots or criss-cross grid-like barium coating; B- For the liquid in the gastric cavity of the dark area of the single or multiple posterior echo with strong echo or hyperechoic light bands, changes in position or abdominal pressure vibration can be seen when a wide range of movements; CT main performance For the gastric cavity mixed density shadow, prone position scan position can be changed. Conclusion The full understanding and careful analysis of the imaging features of gastropathy helps to improve the diagnosis of the disease.