| 螺旋CT对胃癌浸润及转移的诊断价值 |
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| 引用本文： | 高剑波,孔祥泉,郭华,李树新,杨学华,李荫太,张智栩.螺旋CT对胃癌浸润及转移的诊断价值[J].中德临床肿瘤学杂志,2004,3(3):179-183. |
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| 作者姓名： | 高剑波 孔祥泉 郭华 李树新 杨学华 李荫太 张智栩 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院放射科 430022
(高剑波,孔祥泉,郭华,李树新,杨学华,李荫太),华中科技大学同济医学院附属协和医院放射科 430022(张智栩) |
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| 摘 要： | 目的 评价螺旋CT三期增强扫描对胃癌浸润及转移的准确性,并探讨影像学与病理学的内在联系。方法 对46例胃癌病人行螺旋CT三期增强扫描并与术后病理对照。结果 (1)螺旋CT诊断浆膜受侵、淋巴结转移和远处转移的准确性分别为84.8％、87.0％和100％。(2)螺旋CT征象中浆膜受侵、淋巴结转移、淋巴结转移站数和远处转移均与病理TNM分期密切相关(P<0.05)。结论 螺旋CT三期增强扫描能较全面、准确地反映胃癌病理特征,是诊断胃癌浸润及转移的可靠影像学方法。
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| 关 键 词： | 胃肿瘤 浸润 转移 螺旋CT |
| 收稿时间： | 16 February 2003 |
Evaluation of Helical CT Scanning in Judging the Invasion and
Metastasis of Gastric Carcinoma |
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| GAO?Jianbo?Email author,KONG?Xiangquan,GUO?Hua,LI?Shuxin,YANG?Xuehua,LI?Yintai,ZHANG?Zhixu.Evaluation of Helical CT Scanning in Judging the Invasion and
Metastasis of Gastric Carcinoma[J].The Chinese-German Journal of Clinical Oncology,2004,3(3):179-183. |
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| Authors: | Email author" target="_blank">GAO?Jianbo?Email author KONG?Xiangquan GUO?Hua LI?Shuxin YANG?Xuehua LI?Yintai ZHANG?Zhixu |
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| Institution: | (1) Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, China;(2) Department of Radiology, the First Affiliated Hospital of Zhengzhou University, 450052 Zhengzhou, China |
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| Abstract: | Objective: To determine the accuracy of triphase enhanced helical CT in judging the invasion and metastasis of gastric carcinoma, and to discuss the relation between imaging signs and pathological findings. Methods: Triphase enhanced helical CT scanning was performed in 46 patients with gastric carcinoma. Imaging findings were compared with postoperative pathologic results. Results: (1) The accuracy of helical CT for diagnosing involvement of tunica serosa, lymph node metastasis and distant metastasis was 84.8%, 87.0% and 100% respectively. (2) CT signs of serosal involvement, lymph node metastasis and distant metastasis were in good accordance with pathological findings (P<0.05). Conclusion: Triphase enhanced helical CT scans can comprehensively and precisely reflect the pathologic characteristics of gastric carcinoma, thus it is a reliable technique for the diagnosis of this disease. |
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| Keywords: | neoplasms gastric invasion metastasis helical CT |
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