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目的 :提高影像技术对诊断食管癌、贲门癌重要性的认识。方法 :回顾性地分析经手术、病理证实食管癌 2 2例和贲门癌 17例 ,全部病例均有X线钡餐及CT检查。结果 :2 2例食管癌及 17例贲门癌主要X线表现为粘膜破坏、中断、壁僵硬、充盈缺损及溃疡。主要CT表现为壁增厚、软组织肿块及周围组织器官累及及淋巴结转移情况。结论 :X线钡餐是检查食管癌和贲门癌的首选方法 ,CT检查对食管癌和贲门癌的术前分期有重要意义。因此合理地应用X线和CT检查有助于全面观察食管癌和贲门癌的影像表现。
Objective: To improve the understanding of the importance of imaging in the diagnosis of esophageal and cardiac cancer. Methods: We retrospectively analyzed 22 cases of esophageal cancer and 17 cases of cardia cancer confirmed by operation and pathology. All patients had X-ray barium meal and CT examination. Results: The main radiological manifestations of 22 cases of esophageal cancer and 17 cases of cardia cancer were mucosal destruction, disruption, stiff wall, filling defect and ulcer. The main CT showed wall thickening, soft tissue mass and surrounding tissue and organ involvement and lymph node metastasis. Conclusion: X-ray barium meal is the preferred method for detecting esophageal and cardiac cancer. CT examination is of great significance for preoperative staging of esophageal and cardiac cancer. Therefore, the rational use of X-ray and CT examination will help to comprehensively observe the imaging manifestations of esophageal and cardiac cancer.