摘要
目的:评价螺旋CT在胃癌淋巴结转移中的诊断价值。方法:对59例进展期胃癌患者于手术前1周内行螺旋CT平扫及三期动态增强扫描,对照病理结果,分析其CT征象。结果:①螺旋CT诊断胃癌淋巴结转移的准确率为84.75%(50/59),敏感性为92.31%(36/39),特异性达70.00%(14/20)。②胃癌淋巴结螺旋CT呈融合型、强化密度差值≥80Hu、不均匀强化及直径≥9mm者,病理转移的阳性率较高(χ2=14.12、37.10、7.00和23.72,P均<0.05)。结论:螺旋CT可较准确地检出胃癌转移淋巴结。
Aim:To evaluate the diagnostic value of spiral CT(SCT)in lymph node metastasis of gastric carcinoma.Methods:A total of 59 patients were performed non-enhancement and triphasic enhancement SCT scan before operation,and were operated within one week after CT examination.The results were compared with pathology results.Results:①The detection rate of lymph node metastasis with SCT was 84.75%(50/59),and with high sensitivity(92.31%)and specificity(70.00%).②The pathologic metastatic rate of lymph node was higher ...
出处
《郑州大学学报(医学版)》
CAS
北大核心
2009年第6期1248-1250,共3页
Journal of Zhengzhou University(Medical Sciences)
关键词
胃肿瘤
癌
淋巴结
转移
体层摄影术
X线计算机
gastric neoplasms
carcinoma
lymph node
metastasis
X-ray
computed tomography