超声对老年人胃癌诊断意义与胃镜、手术病理对照研究

目的 :为临床提供更多老年人胃癌的诊断依据和治疗方案。 方法 :用超声对123例老年人胃癌诊断与胃镜 ,手术和非老年人胃癌超声诊断进行对照研究。 结果 :老年人胃癌超声诊断符合率(96.7 %)与胃镜(98.4 %)、手术病理(100 %)及非老年人胃癌超声诊断(94.5 %)比较差异无显著性(P>0.05) ;超声组对胃癌胃腔外肿瘤浸润和淋巴结转移诊断明显优于胃镜组。老年人胃癌超声定位 ,图像与非老年组无差异 ;两组胃癌超声定位与手术证实差异无显著性(P>0.05)。 结论 :超声对观察胃癌浸润深度、周围侵犯及淋巴结转移诊断可靠 ,对肿瘤TNM分期可作出初步估价 ,利于制定治疗方案 ,弥补胃镜检查不足

ULTRASOUND DIAGNOSIS AND ITS CLINICAL VALUE FOR THE GASTRIC CANCER IN ELDERLY PATIENTS: COMPARISON WITH GASTROFIBERSCOPE AND PATHOLOGICAL

Purpose: To provide more evidences for the diagnosi s and the selectionof clinical therapeutic scheme in elderly p atients with gastric cancer. Methods: The ultrasonographic diagnos is of 123 gastric cancer in elderly patient swere compared w ith gastrofiberscope,operation and no_elderly patients of gastriccan cer with ultrasonographic diagnosis. Results: There were no sign ificant differences(P>0.05) in diagnosis coincidence rate of elder ly gastric cancer among wlfrasonographic(96.7 %), gastrofiberscope( 98.4 %), pathological nature(100 %), and no_elderly patients g roup(94.5 %). The diagnosis on gastricexter_lumen infiltration an d lymphatic metastasis in the patients with gastriccancer of u ltrasonographic group was increased significantly as compared with thegastrofiberscope group. There was no significamt difference in ultrasonographic localizationand picture between elderly and no _elderly group. There were not statistically difference in ultra sonographic localizationand operative proof from that in both gr oups (P>0.05). Conclusions: Ultrasonographic diagnosis was exact t o observe the degree ofinfiltration, encroachment of enviroment and lymphatic metastasis with gastriccancer, can evaluate the TN M stage, and is useful for make a therapeutic scheme, bridge a gap from gastrofiberscope.