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目的 总结早期食管癌X线诊断的经验。方法 回顾性分析经手术病理证实及有电子纤维胃镜资料的 276例早期食管癌的食管双对比造影照片。结果 276例食管双重对比造影表现有: ( 1 )环征、半环征; ( 2 )平盘或棒状隆起; ( 3 )结节泡囊状亮区; (4)细颗粒花纹状黏膜; (5)偏侧局限性管壁凹陷增厚; (6)斑状及长条状龛影; (7)靶征; (8)缺口征及双边征。同电子纤维镜观察到的隆起、平坦、凹陷 3项基本病理学改变相一致。结论 食管双对比造影对早期食管癌的定位、定性、定量、定型和定期的诊断具有重要价值。
Objective To summarize the experience of X-ray diagnosis of early esophageal cancer. Methods A retrospective analysis of 276 cases of early esophageal carcinoma confirmed by surgery and pathology with electronic fiber gastroscopy was performed. Results 276 cases of esophageal double contrast angiography showed: (1) ring sign, half ring sign; (2) flat plate or rod bulge; (3) nodular vesicular bright area; (4) fine granular mucosa; ( 5) limitations of lateral wall thickening depression; (6) macular and long shadow Kanying; (7) target signs; (8) gap sign and bilateral sign. Observed with the electronic fiber mirror uplift, flat, depression consistent with the three basic pathological changes. Conclusion Esophageal double contrast angiography is of great value in the localization, qualitative, quantitative, stereotypical and regular diagnosis of early esophageal cancer.