The oesophagus cancer discriminates with diagnosis

3.13.2009

This disease should discriminate with following disease:
(A)oesophagus responsibility the door lose an idle disease
The sufferer is seen to young female more, the course of illness is long, symptom light weigh.The oesophagus barium meal check it is thus clear that the oesophagus bottom carries to present a smooth funnel type narrow, application solution Jing can make it extend.
(Two)the oesophagus is positive narrow
Can from the mistake swallow corrosion and oesophagus burn and foreign body harm and chronic ulcer etc. cause of scar formation to.The course of illness is longer and swallow the difficulty develop to certain degree namely no longer aggravate.It Be canned discriminate by the history and X line barium meal check of detailed inquiry disease.
(Three)oesophagus benign tumor
Mainly is a seldom seen smooth muscle lump, the course of illness is longer and swallow the difficulty is much a by fits and starts.X line barium meal check can show that the oesophagus has circular, egg circular or divides leaf-like defection and damage of Chong Ying, the edge is tidy and around glue a film line normal.
(Four)Mao ball disease
Be seen to youth more a female, have already swallowed a ball kind foreign body, the disappearance is often inducted by spirit factor while taking a meal.This disease actually has no machine quality oesophagus pathological changes, as well not difficult discriminate with oesophagus cancer.
(Five)lack iron false film oesophagus to blaze
Much is a female, in addition to swallowing a difficulty, fair having cellule the low dye is anemic, the tongue is burning, the stomach acid lack to express with anti- first grade.
(Six)the oesophagus surroundings organ pathological changes
If the Zong separates tumor, aorta lump, goitre, and heart aggrandizement...etc..In addition to the Zong separates tumor incursion oesophagus, the X line barium meal check can show the oesophagus smoothly pressed a vestige and glued a film line normal.
(1)the check of oesophagus function:
The ① oesophagus exercises the function experiment:
(A)oesophagus pressure measurement, be applicable to Yi to have the oesophagus the sufferer whom sport disorders;B)the sour clearance experiment and used for measuresing an oesophagus body a department to expel a sour peristalsis efficiency.
The ② stomach oesophagus returns to flow a measurement:
(A)oesophagus of sour infuse to note to experiment;B)24 hour the oesophagus pH monitor;C)oesophagus next the Gua invite a muscle to measure to press to experiment.
(2)the shadow elephant learn diagnosis:
(1)the X line barium meal check:Is one of the important meanses that diagnoses oesophagus and department tumor in the Ben door, can provide dependable data for the research earlier period oesophagus cancer, combine cytology and mirror check inside the oesophagus, can raise the accuracy of oesophagus cancer diagnosis.The oesophagus cancer X line barium meal check not only wants to make sure focus part, length and the degree of Geng Zu, but also needs to judge an oesophagus focus have already outside had no to invade and outside invade scope.
(2)the CT check:The CT scans can clear show oesophagus with close by the Zong separate the relation of organ, but hard detection earlier period oesophagus cancer.Combine together CT and X line check, help diagnosis and cent of oesophagus cancer to expect a horizontal exaltation.
(3)the oesophagus shed off a cytology check:The oesophagus sheds off a cytology check to contain simple method, operation convenience, safety, patient pain and sufferings small, the accuracy is in above 90%, is the important method of the oesophagus cancer large-scale census.But have issue of blood and issue of blood to the oesophagus cancer to incline to, or the companion have an oesophagus varix's to make oesophagus to pull net cytology in response to the taboo check;Up see to the oesophagus cancer X slice the oesophagus has deep ulcerate or merge high blood pressure, heart attack and later period gestation, should carefully go oesophagus to pull a net to shed off a cell check;To whole body condition bad, the too weak sufferer after shoulding improve a sufferer first the general condition make a check again;The one who merge to blaze a disease up the impatient the breath way and the top digest way, should control an infection first, then go check.Combine a X line barium meal the check be the diagnosis basis of oesophagus cancer and make the oesophagus mirror checked painful.But the oesophagus is narrow to have Geng of Zu, can not use this method, should carry on an oesophagus mirror check.
(4)the oesophagus mirror check:The fiber oesophagus mirror has already extensively used for the diagnosis of oesophagus cancer.The oesophagus mirror check can directly observe tumor size, appearance and part and provide the basis of treatment for clinical doctor, can make to live check or mirror to brush a check in the pathological changes part in the meantime as well.Oesophagus mirror check with shed off a cytology check to combine together, is an oesophagus cancer ideal diagnosis method.
(5)discriminate diagnosis:The oesophagus cancer discriminates diagnosis history, symptom and body of disease advertise for, besides which, to a large extent depend on X line and inside mirror check, but the end diagnosis need through organization pathology diagnosis confirmation.The oesophagus cancer needs to make with the oesophagus positive and other malignant tumors to discriminate

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