摘要
目的：探讨多层螺旋CT对胃癌的术前评估价值。方法回顾性分析2013年1月~2014年1月于我科行CT检查的50例胃癌患者的临床资料及MSCT资料。全部病例 CT检查前均有胃镜及其他检查资料，其中16例行钡餐检查。所有患者术前1周内均行MSCT检查，并于1周内行胃癌D2根治手术。结果50例胃癌中，早期胃癌10例，进展期胃癌40例。胃壁增厚、异常强化及软组织肿块为胃癌的多层螺旋CT基本征象。依照手术病理结果提示进展期胃癌Borrmann分型，肿块型9例，局限溃疡型胃癌10例，浸润溃疡型20例，弥漫浸润型1例。50例胃癌MSCT诊断T1期2例、T2期4例、T3期24例、T4期20例。其中肝脏转移12例、肺部转移4例、肾上腺转移3例。结论对胃癌患者应用多层螺旋 CT扫描图像具有较高的参考价值，为临床医生选择合适的治疗方案提供了重要依据。
Objective To investigate the preoperative evaluation value of multi-slice spiral CT in gastric cancer. Methods The clinical data and MSCT data of 50 cases of gastric cancer from January 2013 to January 2014 in our department for CT examination were reviewed. All patients had CT examinations before gastroscopy and other inspection data, 16 of whom underwent barium meal examination. 1 week ago, all patients underwent MSCT examination inside, and D2 radical operation for gastric cancer in 1 week. Results In 50 cases of gastric carcinoma, 10 cases of early gastric cancer, 40 cases of advanced gastric carcinoma. Thickening, abnormal enhancement and soft tissue mass for the basic features of gastric carcinoma with multi-slice spiral CT. Divided into the mass type 9 cases, localized gastric cancer 10 cases, in-filtration ulcerative type in 20 cases,diffuse infiltrative type 1 case. 20 cases of MSCT diagnosis of 50 cases of gastric cancer and 2 cases of T1 stage, 4 cases of T2 stage, 24 cases of T3 stage,20 cases of T4 stage. Among 12 cases of liver metastasis, lung metastasis in 4 cases, 3 cases of adrenal metastasis. Conclusion The application of multi-slice spiral CT scanning in patients with gastric cancer has a high reference value, it provides an important basis for clinicians to select appropriate treatment options.
出处
《中国现代医生》
2015年第10期106-108,共3页
China Modern Doctor
基金
浙江省宁波市科技计划项目(2010C50013)
关键词
胃癌
多层螺旋CT
术前
Gastric cancer
Multi-slice spiral CT
Preoperative
