Nazarova E N, Frolov A V, Stashuk G A
Vestn Rentgenol Radiol. 2007 Jul-Aug(4):23-9.
The paper deals with one of rather common and clinically urgent diseases of the esophagus--esophageal achalasia (EA). By using 173 cases as an example, the authors show a diversity of clinical symptoms and basic X-ray diagnostic criteria for this abnormality. Analysis of the results of clinical and instrumental studies has enabled the authors to differentiate the complicated and uncomplicated forms of the disease, identification of which determines the choice of an algorithm of complex treatment. The paper provides strong evidence that the classical techniques of a conventional X-ray study ensure a valid differential diagnosis of EA and cardioesophageal cancer and evaluates the efficiency of treatments.
本文探讨了食管一种较为常见且临床急需解决的疾病——贲门失弛缓症(EA)。作者以173例病例为例,展示了该病症多样的临床症状及基本的X线诊断标准。通过对临床和器械检查结果的分析,作者得以区分该疾病的复杂型和非复杂型,明确其分型有助于确定综合治疗方案的选择。本文有力地证明,传统X线检查的经典技术能有效鉴别贲门失弛缓症和贲门食管癌,并评估治疗效果。