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本文对23例胃粘膜点状糜烂和5例胃粘膜片状糜烂进行了病理和X线表现的对比研究。点状糜烂病灶均为多发,呈暗红色点状凹陷,其形状为圆形或长圆形,糜烂周围多有水肿粘膜隆起。片状糜烂为一片暗红色低下区,轻度高低不平,形态常不规则,粘膜表面正常,胃小沟、胃小区结构消失。胃X线双重造影片显示:前者为直径2～3mm的点状龛影,周围包绕一透亮圈,即所谓“靶样”病灶;后者为不规则形的片状密度增高区。文中讨论了X线显示技术、鉴别诊断及临床意义。
This article compared pathological and X-ray findings of 23 cases of gastric mucosal puncture erosion and 5 cases of gastric mucosal flaky erosion. The punctate lesions were multiple, with dark red spot-like depressions. Their shape was round or oblong, with edema around the erosion. The flaky eroded area is a dark red lower area, with slight unevenness, irregular shape, and normal mucosal surface, and the gastric minor sulcus and stomach cell structure disappeared. The X-ray double-contrast radiograph showed that the former was a punctate shadow of 2 to 3 mm in diameter surrounded by a clear circle, the so-called “target-like” lesion, and the latter was an irregular-shaped patch-shaped density-increasing region. The X-ray display technique, differential diagnosis, and clinical significance are discussed in this article.