胃充气状态下上腹部加强CT扫描判断贲门癌的可切除性

The Preoperative Evaluation of Respectability of Cancer of Gastric Cardia by Upper Abdominal CT Scan With Gas-filled Stomach

目的 判断贲门癌切除的可能性。方法 77例贲门癌患者术前行胃充气状态下用 76 %泛影葡胺 1 0 0mL(离子型造影剂 )做上腹部加强CT扫描。结果 CT预测 5 5例能完成根治性手术切除的病例中 ,5 3例行根治性切除 ,2例行姑息性切除。预测 2 2例不宜手术 ,结果 1 0例手术探查 ,1 0例姑息切除 ,2例根治性切除。其判断贲门癌是否根除手术的阳性预测准确率为 90 .9% ,阴性预测准确率为 96 .4 %。

objective To study the respectability of cancer of gastric cardia. Methods 77 preoperative patients received upper abdominal enhanced CT scan with gas- filled stomach. Results Among 55 patients whose tumor were respectable judged by CT scan, 53 received radical resection, 2 palliative operation. Among 22 patients whose tumor were unresectable judged by CT scan, 11 received exploration, 10 palliative operation and 2 radical resection. The positive expectation rate and negative expectation rate for the unresectability of cancer of gastric cardia is 90.9% and 96.4%. Conclusion preoperative upper abdominal CT scan with gas- filled stomach is of great value to judge the respectability of cancer of gastric cardia.