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X-ray activity of gastric lesions and surgical excision of the relationship between

Abstract Objective X-ray barium meal examination, measuring the activity of gastric carcinoma to determine whether gastric surgery. Methods and below the vertebral body in patients with vertebral gap height as a standard unit of measurement will be divided into 168 cases of gastric cancer and gastric cardia mainly to the upper and the lower part of the main pyloric and antral, gastric lesions were measured In the standing position as the image and supine position, find the difference between the two, as the activity of gastric lesions. The results of the activity of the lower part of gastric lesions> 1.00 vertebral body units, is fully capable of surgical resection, ≤ 0.50 vertebrae units, surgical resection is very unlikely, the activity of gastric lesions in the vertebrae of 0.6 to 1.0 units between, there is still a strong possibility the gastric lesions excised; upper gastric cancer should not use this method to determine whether the excision. Conclusion X-ray examination to determine the activity of gastric carcinoma proposed a simple measurement method, obtained a gastric cancer before surgery to determine whether the surgical removal of the objective basis. Key words activity of gastric carcinoma resection 【Abstract】 Objective To measure the activity degree of gastric cancer by X-ray barium perspective and judge the feasibility of excision. Methods Take the height of a centrum and a clearance between two centrums as a standard metrical unit.Separate the 168 cases into nether gastric cancers and upper gastric cancers.Measure the positions of gastric cancers in standing location image and lying location image, take the difference between the two positions as the activity degree.Results The nether gastric cancer can be excised completely if the activity degree is more than 1.0 centrumunits, the feasibility of excision is little if the activity degree is equal to or less than 0.5 centrumunits, there are more feasibilities of excision if the activity degree of gastric cancer is between 0.6 centrum units and 1.0 units.The upper gastric cancer cannot be judged to be excised by this way.Conclusion Bring forward a handy measure method for confirming activity degree of gastric cancer and get an impersonality gist of judging whether to excise the gastric cancer. 】【Key words gastric cancer activity degree excision whether the surgical resection of gastric cancer and the prognosis is directly related to the commonly used X-ray barium meal examination of gastric cancer remains the most simple and important diagnostic method [1]. Barium meal examination to determine whether the surgical resection of gastric cancer Few objective basis, according to past experience, the more significant gastric wall stiffness, the degree of invasion of gastric cancer will be more deeply [2], adhesion of the more extensive activity also smaller; the other hand, gastric cancer infiltration of surrounding tissue to a lesser extent, the activity will be greater the larger the likelihood that surgery. Accordingly, the author observed with the upright and supine gastric activity level and extent of such activities in accordance with vertebral body height as the standard for measurement, can come to a surgical resection of gastric cancer to determine the objective indicators. 1 Materials and Methods 1.1 General information on this group of 168 cases of gastric cancer patients, male 134 cases, 34 females, including the March 1998 ~ February 2003 Bank of gastrointestinal angiography and pathologically confirmed 132 cases of gastric cancer patients, its retrospective measurement and analysis; March 2003 to 2004 period 9 patients with pathologically confirmed 36 cases of gastric cancer, and inhale its breath measurement of mobility; which upper stomach (the cardia-based) 73 cases, of which 58 cases have surgery, not surgery in 15 cases; the lower part of stomach (the antrum-based) 95 cases, of which 72 cases had surgical resection, 23 cases of failed surgery . In addition to the cases has been successful surgery, regardless of whether patients were found around the organs and lymph node metastases, the cancer lesions have been resected. Also choose to search the main body, there is no obvious contrast stomach gastrointestinal symptoms and 50 healthy patients, male and female of all 25 patients as controls. 1.2 method in patients with a vertebral body and below the vertebral space, as the height of a vertebral unit, shown in Figure 1, Figure 2 (short double arrow), in order to obtain the vertebral unit value accuracy, the patient L1 to L3 on the edge of the upper edge of the 1 / 2 as a vertebral unit, shown in Figure 1, Figure 2 (long double arrow), with the L1 edge of the fixed point as a measurement, see Figure 1, 2 (1 show), the center of the lesion of gastric cancer gastric lesions measuring point as shown in Figure 1, Figure 2 (2 shows), to identify these two basis points, as the measurement marker. There are 3 parts of the measurement: (1) in the standing position and (or) as the supine, measured from L1 to L3 on the edge of the upper edge of the vertical distance, see Figure 1 ~ 4 (long double arrow), the measured values 1 / 2 as A. (2) in the standing position, as on the measurement of gastric lesion center with the L1 to the corresponding upper edge of the vertical distance, as B, shown in Figure 1, Figure 3 (single arrow). (3) in the supine position, as on the center to measure the gastric lesions and L1 correspond to the upper edge of the vertical distance, as C, shown in Figure 2, Figure 4 (single arrow). A unit of the standard height of a vertebral body, B for gastric cancer in the upright position on the image, C for gastric cancer in the recumbent position on the image, set the formula (BC) ÷ A for gastric cancer as in the upright and supine on the activity. When the upright and supine as the focus as the camera film is inconsistent, the formula (BC) ÷ A to B ÷ AC ÷ A. 1.3 in patients with typical cases, male, 64 years old,[link widoczny dla zalogowanych], more than 1 year stomach pain, vomiting, more than 20 days, see cancer surgery involving the left lobe of liver lesions and the pancreatic body, and after the adhesion of peritoneal and pancreas, peritoneal and hepatic portal area has swollen lymph nodes, surgery failed to excision. Barium-made film measurements, as in the upright and supine as the last, from L1 to L3 on the edge of the upper edge of the height are 28mm, see Figure 3, Figure 4 (double arrow), a vertebral body height is 28mm × unit 1 / 2, A = 14mm, L1 to the upper edge of gastric lesions in the upright position as the B = 19mm, see Figure 3 (single arrow), as in the supine position on the C = 12mm, see Figure 4 (single arrow). Formula (BC) ÷ A = (19-12) ÷ 14 = 0.50 vertebrae units. Figure 1 upright like a line graph in Figure 2〗〖lying like a line graph standing position as in Figure 3 〖〗 Figure 4 lying like 2 results 2.1 normal activity of the stomach in Table 1. Table 1 50 cases of normal gastric activity (vertebral units) Note: The table in the upper stomach and lower stomach are the same patients can be seen from Table 1, the gastric cardia to the upper part of the measuring point, the minimum activity is 0.63 vertebral units, the maximum is 1.50 vertebral body units, the average activity was 1.08 vertebral units ; the pyloric stomach to the lower part of the measuring point, the minimum activity is 1.00 vertebral units, the maximum is 2.30 vertebral body units, the average activity was 1.70 vertebral units by the activity between the two groups statistically (Z = 7.27> 1.96, P <0> 1.96, P <0> 0.05), the difference was not statistically significant; in the supine as the average mobility is 0.80 and 0.75 vertebral body units were statistically different between the two groups processing ( t = 23, P > 0.05), there was no significant difference. In the standing position as the lower part of gastric cancer, the resection group and not able to exhale and inhale the resection group, the average mobility is 0.89 and 0.82 vertebral body units, the two groups were statistically different between the treatment (Z = 0.59 P > 0.05), the difference was not statistically significant; in the supine as the average mobility is 0.90 and 0.73 vertebral body units, the two groups were statistically different between the treatment (Z = 1.72 <1> 0.05), the difference was not statistically significant. 3 discussion can be seen in the literature [3 9], in the surgical treatment of advanced gastric cancer is high failure rate, not the focus of the 1-year survival after resection and 3-year survival rate , were lower than non-surgical treatment. Liu Yongjiang [10] on 58 patients with unresectable gastric cancer analysis that the lesion of gastric cancer and adjacent tissue and infiltration tube without removal of adhesions is an important factor. Measuring the activity of gastric lesions, lesions can be directly prompted the neighboring tissues and organs of the degree of infiltration and adhesion to surgical resection of gastric carcinoma can not represent out malignancy and metastasis. The activity of gastric cancer and gastric lesions occurred on the site,