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胃癌声像图TNM分期与手术病理对照分析
引用本文:张玉英. 胃癌声像图TNM分期与手术病理对照分析[J]. 青海医学院学报, 2004, 25(1): 29-30,33
作者姓名:张玉英
作者单位:青海省人民医院超声室,青海西宁,810007
摘    要:目的 探讨经腹超声诊断胃癌的实用价值。方法 收集经手术和胃镜活检病理证实的45例进展期胃癌。结果 胃癌声像图病理分型为溃疡型、浸润型和肿块型,超声诊断准确率97%;30例胃癌术前行TNM分期,T2至T4的诊断准确率为66.67%,NO至N2的诊断准确率为60.71%,邻近器官转移的诊断准确率为80%。结论 此法简便易行,有较高的临床价值,能弥补X线和胃镜检查的不足,对拟定治疗方案及评价预后颇为实用。

关 键 词:进展期胃癌 声像图 TNM分期

A COMPARISON STUDY OF ULTRASONOGRAPHY AND TNM STAGING OF GASTRIC CARCINOMA WITH SURGERY AND PATHOLOGY
Zhang Yuying. A COMPARISON STUDY OF ULTRASONOGRAPHY AND TNM STAGING OF GASTRIC CARCINOMA WITH SURGERY AND PATHOLOGY[J]. Journal of Qinghai Medical College, 2004, 25(1): 29-30,33
Authors:Zhang Yuying
Affiliation:Zhang Yuying Department of ultrsound,People's Hospital of Qinghai province Xi'ning 810007,China
Abstract:Objective To investigate the value of trans-abdominal ultrasongraphy of advanced gastric carcinoma. Methods 45 cases with advanced gastric, carcinoma were confirmed histologically by surgery and fibro-gastroscopic biopsy. Results Three pathologic types were divided by ultrasonography. The diagnostic accuracy rate by ultrasound was 97 %. The ultrasonography for preoperactive TNM staging was performed in 30 cases with gastric carcinoma. The accuracy rate of US for T2-T4 and N0-N2 was 66. 67%and60.71%.The accuracy rate of US for metastasis of adjacent organs was 80%. Conclusion The way is easy and simply and can make up the weakness of X-ray and fibro-gastroscopic examination. It is helpful in treatment planning and prognosis.
Keywords:Advanced gastric carcinoma Ultrasonography TNM Staging
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