| 64层螺旋CT对进展期胃癌D2根治术中淋巴结清扫的指导价值 |
| |
| 引用本文： | 张能,张军,廖刚,唐艳隆,吴钊,王子卫.64层螺旋CT对进展期胃癌D2根治术中淋巴结清扫的指导价值[J].第三军医大学学报,2009,31(9). |
| |
| 作者姓名： | 张能 张军 廖刚 唐艳隆 吴钊 王子卫 |
| |
| 作者单位： | 1. 重庆医科大学附属第一医院胃肠外科,重庆,400016
2. 重庆医科大学附属第一医院CT室,重庆,400016 |
| |
| 基金项目： | 重庆市卫生局资助课题 |
| |
| 摘 要： | 目的 研究64层螺旋CT(64-slice,CT)对进展期胃癌行D2根治术淋巴结清扫的临床指导价值.方法 分析已确诊的进展期胃癌患者(病例组),术前64层螺旋CT检出的淋巴结总数、淋巴结直径(d)和病检结果,并与术前未行64层螺旋CT检查的进展期胃癌患者(对照组)比较术后淋巴结总数、不同直径组淋巴结转移阳性率.结果 64层螺旋CT能够检出更多肿大淋巴结,尤其能提高直径(d)<10 mm的检出率:d<10 mm占89.5%(111/124),d≤5 mm占65.3%(81/124),d<3 mm占32.3%(40/124).病例组切除的淋巴结数平均为30枚,其中d<10mm、d≤5 mm、d<3 mm淋巴结转移率分别为77.7%(108/139)、49.O%(68/139)、18.0%(25/139).对照组切除的淋巴结数平均为19枚,其中d<10 mm、d≤5 mm、d<3 mm淋巴结转移率分别为52.1%(25/48)、27.1%(13/48)、8.3%(4/48).结论 进展期胃癌术前行64层螺旋CT检查有利于发现小直径淋巴结.
|
| 关 键 词： | 64层螺旋CT 进展期胃癌 D2根治术 淋巴结清扫 |
Application of 64-slice spiral computed tomography indicates D2 lymph node dissection for advanced gastric carcinoma |
| |
| ZHANG Neng,ZHANG Jun,LIAO Gang,TANG Yan-long,WU Zhao,WANG Zi-wei.Application of 64-slice spiral computed tomography indicates D2 lymph node dissection for advanced gastric carcinoma[J].Acta Academiae Medicinae Militaris Tertiae,2009,31(9). |
| |
| Authors: | ZHANG Neng ZHANG Jun LIAO Gang TANG Yan-long WU Zhao WANG Zi-wei |
| |
| Institution: | ZAHNG Neng1,ZHANG Jun1,LIAO Gang1,TANG Yan-long2,WU Zhao1,WANG Zi-wei1 (1 Department of Gastroenteral Surgery,2Department of Computed Tomography,First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China) |
| |
| Abstract: | Objective To investigate the clinical guidance value of 64-slice spiral computed tomography (CT) in patients who need undergo D2 lymph node dissection for advanced gastric carcinoma. Methods Fifteen patients with advanced gastric carcinoma who received plain and contrast scanning of CT, and 15 matched patients who did not get this examination were subjected in this study. They all received D2 lymph node dissection. CT data, the amount of lymph nodes detected by CT preoperatively and the diameter of lymph no... |
| |
| Keywords: | 64-slice computed tomography advanced gastric carcinoma dissection 2 lymph node dissection |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
