摘要
目的:探讨64排螺旋CT增强扫描在进展期胃癌的诊断、分期及可切除性及根治范围判定价值。材料与方法:对45例临床确诊为胃癌的住院患者进行术前64排螺旋CT动态增强扫描,根据结果作出分期诊断,并与手术及病理TNM分期相对照。结果:CT表现为胃壁多层结构破坏,淋巴结及邻近、远处脏器的转移。螺旋CT的T、N及M分期准确率分别为71.1%、75.0%和71.4%。结论:64排螺旋CT增强扫描术前评估进展期胃癌TNM分期准确性高,对胃癌患者术前评估有较高的临床参考价值。
Purpose:To investigate the value of the 64-slice spiral CT enhanced scan in gastric cancer diagnosis,staging,resectability and the scope of radical operation.Materials and Methods:we choose 45 cases diagnosed as gastric cancer inpatients,then scanned them by 64-slice spiral CT dynamic.According to the preoperative scanning result,we made staging diagnosis and control with surgical and pathological TNM staging.Results:results of the CT scan showed that the stomach wall multilayer structure was destructed,and the lymph nodes and organ metastasized.The accuracy of staging of T,N and M by 64-slice spiral CT was 71.1%,75.0% and 71.4%.Conclusion:The accuracy of assessing the preoperative TNM-staging of gastric cancer by 64-slice spiral CT scanning technique is high.64-slice spiral CT scanning for assessing gastric cancer impatient has a higher clinical reference value.
出处
《现代医用影像学》
2012年第3期135-137,共3页
Modern Medical Imageology
