螺旋CT对胃底贲门癌诊断价值的探讨

Quest for diagnostic value of spiral CT and endoscope in preoperative staging of cardiac carcinoma

目的探讨螺旋CT结合内镜对胃底贲门癌术前的价值。方法对33例贲门癌术前螺旋CT、内镜检查资料进行综合分析,并与术后病理对照。结果内镜检出率100%,活检病理确诊率90%。螺旋CT显示肿瘤的部位、大小及形态与手术结果基本符合。对桨膜层受侵判断准确性为71%,对淋巴结转移判断准确性为67%。对邻近器官受侵判断准确性为87%。结论内镜是直接、准确的检查腔内肿瘤的方法。螺旋CT弥补了内镜对腔外扩展情况的不足,两者结合提高胃底贲门癌的术前诊断。

Objective To investigate the diagnostic value of spiral CT and endoscopein preoperative staging of cardiac carcinoma. Methods The result of spiral CT and endoscopein of 33 cases of cardiac carcinoma was analyzed and compared with postoperative pathological finding. Result The detectability rate of endoscope was 100% and the definite rate of pathology was 90%. The location,size and shape of tumor showed by spiral CT accorded with surgical finding.The accuracy of judging serosa invasion ,lymphatic metastasis, adjacent organs invasion was 71%,67%,87%. Conclusion Endoscope is a direct, accurate way to check out intraluminal tumor, spiral CT can remedy the limit of endoscope about extraluminal condition. Combine endoscope with spiral CT can improve preoeratie staging of cardiac carcinoma.