胃癌的CT诊断及其价值

An evaluation of the CT diagnosis of stomach carcinoma

目的探讨胃癌的CT表现及其诊断价值。方法回顾性分析42例经手术或活检病理证实胃癌的临床和CT检查资料,对患者的CT表现与手术所见、纤维胃镜及胃镜下活检、胃肠钡餐检查结果进行对照分析。结果CT能清楚地显示胃癌病变的全貌以及病变与周围脏器的关系,胃癌CT诊断准确性为71.43%。结论胃CT检查能够发现淋巴结及脏器的转移灶,如结合纤维胃镜及胃镜下活检、胃肠钡餐等检查,能为临床及手术提供可靠的诊断及参考。

Objective It's an evaluation of the CT diagnosis of stomach carcinoma. Methods Retrospective analysis of clinical data and CT findings were made in 42 cases with stomach carcinoma that had been proven by histological examinations. The CT findings, operation observation, endoscopic findings and barium study were comparatively analyzed. Results Lesions and the speared or involved adjacent organs were well revealed on CT. The accuracy of CT diagnosis was 71.43%. Conclusion Metastatic lymphadenopathy and involved organs can be demonstrated on CT, which is a valuable investigation for the managements of the stomach carcinoma, when combined with endoscopic biopsy and barium study of the GI tract.