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多层螺旋CT对胃癌T分期的术前诊断价值
引用本文:项立,胡卫东,朱记超,范义,王秀荣.多层螺旋CT对胃癌T分期的术前诊断价值[J].安徽医学,2011(10):1748-1750.
作者姓名:项立  胡卫东  朱记超  范义  王秀荣
作者单位:1. 518116,深圳 广东深圳市龙岗中心医院消化内科
2. 518116,深圳 广东深圳市龙岗中心医院介入影像科
摘    要:目的研究胃癌多层螺旋CT(multidetector computed tomography,MDCT)的影像特点,探讨其对胃癌T分期的术前诊断价值。方法分别对经手术病理证实的60例胃癌患者进行MDCT平扫及增强三期扫描,分析其CT影像特点并对其进行术前T分期,按WHO对胃癌的T分期标准对其进行临床分期并对CT与临床分期对比分析。结果 60例胃癌发生于胃窦部38例(63.3%),胃体部8例(13.3%),贲门部14例(23.3%)。多排螺旋CT对胃癌术前T分期诊断的准确性为80.00%;对T1期、T2期、T3期、T4期诊断的准确性分别为40.00%、66.67%、83.33%和88.00%;敏感性分别为40.00%、66.67%、83.33%和88.00%;特异性分别为100%、98.15%、100%和100%。结论 MDCT对胃癌术前T分期与手术病理分期具有良好的对应性,对术前术式方案的制定具有重要的临床意义。

关 键 词:胃癌  多排螺旋计算机断层扫描  肿瘤分期  术前分期

The preoperative values of multidetector computed tomography in diagnosing T staging of gastric carcinoma
Xiang Li,Hu Weidong,Zhu Jichao,et al.The preoperative values of multidetector computed tomography in diagnosing T staging of gastric carcinoma[J].Anhui Medical Journal,2011(10):1748-1750.
Authors:Xiang Li  Hu Weidong  Zhu Jichao  
Institution:Xiang Li,Hu Weidong,Zhu Jichao,et al Department of Gastroenterology,Department of Radiolog,Longgang Center Hospital,Shenzhen 518116,China
Abstract:Objective To study multidetector computed tomography(MDCT) image of gastric carcinoma and explore its preoperative values of diagnosing.Methods MDCT was performed in 60 patients with gastric carcinoma diagnosed by surgical pathological findings.Preoperative T staging was analyzed according to the inmage of MDCT.The clinic stage is assessed by T staging of gastric carcinoma of WHO,which compared with T staging by MDCT.Results 38 case(63.3%),8 case(13.3%) and 14case(23.3%)0f gastric carcinoma are located in t...
Keywords:Gastric carcinoma  Multidetector computed tomography  Neoplasms staging  Preoperative staging  
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