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螺旋CT诊断胃癌淋巴结转移的价值 被引量:10

Spiral CT diagnostic value in lymph node metastasis of gastric carcinoma
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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 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
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参考文献2

  • 1张晓鹏.胃肠道CT诊断学[M]辽宁科学技术出版社,2001.
  • 2John C. Lipham,Tom R. DeMeester. Preoperative diagnosis of lymph node metastasis: a dream?[J] 2006,Gastric Cancer(2):70~71

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