二维超声和数字胃肠对照诊断贲门癌的价值

目的:探讨二维超声与数字胃肠检查对贲门癌的诊断价值。方法:将68例经胃镜活检或手术证实的贲门癌患者的超声及胃肠检查结果与病理结果进行对照。结果:超声与胃肠检查对贲门癌的诊断符合率分别为86.8%、92.6%,无明显差异。对早期贲门癌胃肠检查诊断符合率为77.3%,高于超声的诊断符合率59.1%。而在癌肿对周围组织浸润及远处转移方面的诊断,超声具有无法比拟的优势。结论:超声与胃肠检查相结合诊断贲门癌,可以为临床提供较全面的诊断信息,对临床决策及选取手术方案具有重要价值。

The value of two dimensional ultrasonography and digital gastrointestinal constrast study in the diagnosis of cancer of cardia

Objective:To explore the value of ultrasound and barium meal examination in diagnosis of cardia cancer.Methods:The comparison with ultrasound and barium meal examination was made in 68 patients who were confirmed to be cardia cancer by gastroscope biopsy or operation.Results:The diagnostic accordance rate of ultrasound and barium meal examination to cardia cancer were 86.8%,92.6%,and there were no obvious difference.To early phase of cardia cancer,the diagnostic accordance rate of barium meal examination was 77.3% and higher than that of ultrasound which was 59.1%.But ultrasound had obvious preponderance in observation of carcinoma infiltration to circumferential tissue and distance metastases.Conclusion:Combine the two dimensional ultrasonography and digital gastrointestinal study to diagnose cardia cancer,it can provide comprehensive information for clinic,and has significant value in clinical decision and selecting operation program.