B超对贲门癌分期的评价(附81例报告)

Evaluation of Cardial Carcinoma Staging by B type Ultrasound(Report of 81 Cases)

目的 对贲门癌术前正确分期 ,帮助选择手术入路方法 ,以提高贲门癌切除率。方法 应用B超对 81例贲门癌进行诊断、分期 ,与术后病理分期对照研究。结果 B超对贲门癌原发肿瘤的诊断率为 93 8% ,淋巴结显示率为 6 6 1% ,远处转移显示率为90 0 %。结论 B超对贲门癌的浸润深度、淋巴结转移情况及与周围组织关系的诊断明确 ,可作为贲门癌分期的初步评价 ,补充胃镜及吞钡的不足 ,对手术提供正确的入路方法。

Objective Correctly staging cardial carcinoma before operation could help to select operation approach so as to increase the resectional rate.Methods B type ultrasound was used to diagnose and stage the cardial carcinoma in 81 cases.The results was analysed and compared with the pathological staging after operation.Results B type ultrasound had diagnostic rates of 93.8% for primary tumor focus,66.1% for lymph node metastasis,and 90.0% for distant metastasis.Conclusions B type ultrasound can make a confirm diagnosis of tumor’s infiltrative depth,lymph node metastasis and the relationship with adjacent tissues.So it can evaluate the tumor staging,remedy the shortcoming of gastroscopy and barium meal,and provide correct operation approach.