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[现代放射学在胃消化性溃疡诊断中的作用]

[Role of present-day radiography in the diagnosis of peptic ulcer of the stomach].

作者信息

Portnoĭ L M

出版信息

Vestn Rentgenol Radiol. 1996 May-Jun(3):5-12.

PMID:8928403
Abstract

In the author's opinion, roentgenology has a great variety of potentialities to add diagnostic data on peptic ulcer with its site in the stomach (PUSS). By using the goal-oriented X-ray study along with endoscopy in over 600 patients with PUSS both for its primary diagnosis and during its treatment and in various posttreatment periods (from 3 to 6 years), the author supposes that X-ray due to its characteristic three-dimensional image of the stomach will provide comprehensive syndrome information as to its benign ulcerations. This also makes some correction in the problem of multiple gastric ulcers whose pathogenesis is rather commonly due to some healing features of large benign ulcerations. The author failed to observe signs of their malignancy in none of more than 600 long-term follow-ups, which made him state that appropriate corrective approaches to this problem should be applied. Active use of X-ray techniques to verify the efficiency of the therapy performed eliminates the bulk of problems in the diagnosis of benign and malignant gastric ulcerations, especially those associated with the differentiation of a post-ulcer scar and early gastric cancer.

摘要

作者认为,放射学在为胃内消化性溃疡(PUSS)增添诊断数据方面具有多种潜力。通过对600多名患有PUSS的患者进行目标导向的X线检查,并结合内镜检查用于其初步诊断、治疗期间以及不同的治疗后阶段(3至6年),作者推测,由于X线具有胃的特征性三维图像,将能提供有关良性溃疡的全面综合征信息。这也对多发性胃溃疡问题做出了一些修正,其发病机制通常归因于大型良性溃疡的某些愈合特征。在600多次长期随访中,作者均未观察到它们的恶性迹象,这使他认为应采用适当的纠正方法来解决此问题。积极运用X线技术来验证所实施治疗的效果,可消除良性和恶性胃溃疡诊断中的大量问题,尤其是那些与溃疡后瘢痕和早期胃癌鉴别相关的问题。

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