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螺旋CT扫描对胃癌淋巴结转移的术前评估
引用本文:赵培荣,庄奇新,尚克中,丁月根,杨哲,蒋智铭.螺旋CT扫描对胃癌淋巴结转移的术前评估[J].中国医学计算机成像杂志,2004,10(1):33-37.
作者姓名:赵培荣  庄奇新  尚克中  丁月根  杨哲  蒋智铭
作者单位:1. 200233,上海交通大学附属第六人民医院放射科
2. 200233,上海交通大学附属第六人民医院外科
3. 200233,上海交通大学附属第六人民医院病理科
摘    要:目的:评估螺旋CT扫描对显示胃癌淋巴结转移的应用价值.材料和方法:76例经上消化道造影或胃镜诊断的胃癌患者,术前行水充盈法螺旋CT三期扫描;CT所见与手术病理结果对照.结果:螺旋CT扫描对胃癌淋巴结转移显示的敏感性为70%,特异性达79.2%;淋巴结的大小、形态及强化特征有助于阳性淋巴结的诊断.结论:螺旋CT扫描术前评估胃癌淋巴结转移有较大的临床应用价值.

关 键 词:胃癌  淋巴结  螺旋CT

Lymph-node Metastases:Preoperative Evaluation of Gastric Cancer with Spiral CT
Zhao Peirong,Zhuang Qixin,Shang Kezhong,et al.Lymph-node Metastases:Preoperative Evaluation of Gastric Cancer with Spiral CT[J].Chinese Computed Medical Imaging,2004,10(1):33-37.
Authors:Zhao Peirong  Zhuang Qixin  Shang Kezhong  
Institution:Zhao Peirong,Zhuang Qixin,Shang Kezhong,et al Department of Radiology,Shanghai No. 6th Hospital,Shanghai Jiaotong University,Shanghai 200233
Abstract:Purpose: To evaluate the efficacy of the detection of metastatic lymph nodes in patients with gastric cancer using spiral CT.Materials and Methods: Triphase spiral CT of the stomach with water- filling method was performed in 76 patients with gastric cancer that was diagnosed by GI or endoscopy. After surgery, pathologic findings were compared with CT findings. Results:Spiral CT showed a sensitivity of 70% , a specificity of 79.2% in assessing metastases to 16 groups of lymph - node. Lymph - node size, configuration and enhancement pattern aid in diagnosis of metastasis - positive nodes. Conclusion: Spiral CT is effective for preoperative detection of metastatic lymphadenopathy from gastric cancer.
Keywords:Gastric cancer Lymph - node Spiral CT
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