Päivänsalo M, Siniluoto T, Jalovaara P
Department of Diagnostic Radiology, University of Oulu, Finland.
Rofo. 1988 Dec;149(6):615-8. doi: 10.1055/s-2008-1048416.
Radiological findings were evaluated in a series of 25 cases with malignant and three with benign small bowel tumours with surgical or autopsy confirmation of diagnosis. 27 patients were operated, two of them without any radiography due to 'acute abdomen'. 23 patients were examined with ultrasound, 14 with barium examination, seven with CT, four with plain films and two with angiography. Ultrasound revealed 16 (70%) out of 23 tumours, in two cases result was abnormal but the tumour was not found and in five cases no abnormality was identified. Eleven barium examinations (78%) showed signs of tumour, one showed signs of occlusion but not the tumour and in two cases no abnormality was found. The tumour was seen in six of seven cases examined with CT. Our results proved that US is useful as screening study. Barium studies are needed for exact location of the tumour and in US negative cases.
对一系列25例恶性小肠肿瘤患者和3例良性小肠肿瘤患者的放射学检查结果进行了评估,诊断均经手术或尸检证实。27例患者接受了手术,其中2例因“急腹症”未进行任何影像学检查。23例患者接受了超声检查,14例接受了钡剂检查,7例接受了CT检查,4例接受了平片检查,2例接受了血管造影检查。超声检查发现23例肿瘤中的16例(70%),2例结果异常但未发现肿瘤,5例未发现异常。11例钡剂检查(78%)显示肿瘤征象,1例显示梗阻征象但未发现肿瘤,2例未发现异常。7例接受CT检查的患者中有6例发现了肿瘤。我们的结果证明超声作为筛查手段是有用的。对于肿瘤的精确定位以及超声检查阴性的病例,需要进行钡剂检查。