Sherbatenko M K, Selina I E
Scientific Research Institute of Emergency Care of NV Sklifosovskiĭ, Moscow.
Vestn Rentgenol Radiol. 1997 May-Jun(3):15-8.
The study was based on the analysis of clinical, X-ray, and morphological examinations made in 64 patients with giant gastric and duodenal ulcers. All the patients were admitted for gastroduodenal hemorrhage. Among the examinees, there were 28 patients with giant ulcer of the stomach and 26 with that of the duodenum. The authors present the methods of X-ray examinations and the X-ray symptomatology of giant ulcers of the stomach and duodenum. Gastroscopic and X-ray examinations were comparatively analyzed. The paper gives evidence that the X-ray examination has many advantages in estimating the size and ratio of ulcers to the adjacent organs and tissues. The paper outlines giant duodenal ulcers. The authors identify two groups of patients with giant ulcers of the duodenal bulb, which differ in its size and the extent of deformity. One of valid signs of the penetration of giant ulcers is not only their size, but their depth and fixation to the adjacent organs and tissues.
该研究基于对64例巨大胃及十二指肠溃疡患者的临床、X线和形态学检查分析。所有患者均因胃十二指肠出血入院。在受检者中，有28例胃巨大溃疡患者和26例十二指肠巨大溃疡患者。作者介绍了胃和十二指肠巨大溃疡的X线检查方法及X线症状学。对胃镜检查和X线检查进行了对比分析。该论文证明，在评估溃疡大小以及溃疡与相邻器官和组织的比例方面，X线检查具有诸多优势。本文概述了十二指肠巨大溃疡。作者将十二指肠球部巨大溃疡患者分为两组，这两组在溃疡大小和畸形程度方面存在差异。巨大溃疡穿透的有效征象之一不仅在于其大小，还在于其深度以及与相邻器官和组织的粘连情况。
