胃充气状态下上腹部增强CT扫描对贲门癌可切除性的估价

The evaluation of resectability of gastro-cardio-carcinoma by enhanced CT scan of gas-filled stomach

目的:探讨胃充气状态下上腹部增强 CT 扫描对贲门癌可切除性的预测价值。方法:78例贲门癌病人行上消化道造影,并同时行胃充气状态下上腹部增强 CT 扫描。提出3项 CT 预测不宜手术切除的标准。结果:上消化道造影预测手术可切除符合率82.1%,胃充气状态下上腹部增强 CT 扫描预测手术可切除符合率94.9%,两组比较 P<0.05,具有显著差异。结论:胃充气状态下上腹部增强 CT 扫描对贲门癌可切除性的估价有重要价值,具有临床指导意义。

Objective:To investigate the value of enhanced CT scan of inflate stomach in evaluating the resect- ability of cardiac-carcinoma.Methods:Both barium meal examination and intravenous enhanced CT scanning were performed in 78 patients with cardiac carcinoma after oral administration of aerogenic agent.Three criteria to pre- dict that the malignancy was not removable were established on CT images.Results:The accuracy of preoperative evaluation of resectability of cardiac carcinoma was 82.1% by barium gas contrast examination and 94.9% by in- travenous enhanced thin slice (1-3mm) CT scan.There was statistically significant difference between two groups (P<0.05).Conclusions:The enhanced CT scan of inflated stomach is valuable to evaluate the resectability of cardi- ac carcinoma.