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胃幽門部 病變의 X線 診斷에 對한 評價

An Evaluation of the Accuracy of X-ray Diagnosis on Antral Pathology

경북의대잡지 1975년 16권 1호 p.329 ~ 334
정극수, 鄭俊謨,
소속 상세정보
정극수 (  ) - 慶北大學校 醫科大學 內科學敎室
鄭俊謨 (  ) - 慶北大學校 醫科大學 內科學敎室

Abstract


Among 2000 consecutive fibe:sopies of the stomach, there vrere 403 fatal pathoIegies (excluding chronic gastritis) at pyloric parti~n including angulus. Among these, x-ray diagncsis ~~as -rong in iI3 (23.0 0).. Besides this, there were 130 cases of normal antral mucosa or gastritis -hich were :cuspcted by x-ray to have focal pathology.
To say for individual pathology, misdiagnosis was dine by x-ray in 14.1 0 of caner, 45.3,E of peptic ulcer, 65.7 0 of polyp, 95.2 of elevated lesion and 33.3;0 of bezoar.
Among 75 x-ray negative cases, there were 13 cancers, 28 ulcers, 16 polyps, 17 elevated lesions and 1 bezoar while ]30 x-ray positive cases for focal antral pathology including 14 cantors, 38 ulcers, etc. were found to have normal muc~sa or gastritis.
The possible explanation for This high rate of misdiagnosis by x-ray c~ncerining antral pathology were briefly refered.

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