Ragimov R N
Vopr Onkol. 1990;36(5):591-5.
The status of the internal surface of the bowel wall is the basic diagnostic criterion used at standard X-ray examination of the colon whereas the external surface and structures inside the wall cannot be visualized. This is particularly crucial in cases of endophytic cancer which invades the entire intestinal wall and surrounding tissues leaving the internal contour of the colon unaltered. The authors used diagnostic pneumoperitoneum in combination with contrast (barium + air) examination of the colon. The procedure allows to evaluate the status of the external contour of the wall and certain geometric parameters of a lesion thus facilitating the differential diagnosis of colonic pathology.
肠壁内表面的状况是结肠标准X线检查所采用的基本诊断标准,而肠壁外表面及壁内结构则无法显影。这在浸润性癌病例中尤为关键,此类癌症会侵犯整个肠壁及周围组织,而结肠的内部轮廓却未改变。作者采用诊断性气腹联合结肠造影(钡剂+空气)检查。该检查方法能够评估肠壁外轮廓的状况以及病变的某些几何参数,从而有助于结肠病变的鉴别诊断。