摘要
目的:评价超声检查诊断胃癌术后残胃复发的价值。材料和方法:回顾性分析421例胃癌根治术后1个月～10年采用水或微粒声学造影超声检查残胃的资料。结果:残胃和吻合口总体显示满意率85.3%(359/421)。其中远端胃次全切除后残胃的显示满意率93.4%(211/226),近端胃次全切除后残胃的显示满意率75.9%(148/195)。超声检出残胃复发癌56例,其中肿块型21例,胃壁局部增厚型16例,胃壁弥漫增厚型14例,溃疡型5例。超声诊断符合率83.6%(56/67),误诊7例(12.5%),漏诊4例(7.1%)。结论:残胃声学造影超声检查能够良好显示残胃和吻合口,有助于胃癌术后残胃复发的早期检出。
Purpose： To evaluate the diagnostic value of ultrasonography in recurrent gastric carcinoma after operation. Materials and Methods： 421 cases were studied by uhrasonography with water or contrast media enhancement at 1mon - 10y after radical gastrectomy. Results： Ultrasonography satisfactorily visualized the remnant stomach and anastomose segments in 359/421 （85.3 % ）cases ; the success rate of demonstration was higher in cases after proximal partial stomach resection （211/226, 93.4% ） than that after distal gastrectomy （ 148/195, 75.9% ）. Of the 56 cases with recurrence, 21 were found by ultrasound as mass lesions, 16 local incrassation, 14 diffuse incrassation, and 5 ulcers. The true positive rates of ultrasonography was 83.6%, with 7 false-positive and 4 false-negative cases. Conclusion： Ultrasonography is useful in diagnosing recurrence in remnant stomach after gastric surgery.
出处
《中国医学影像学杂志》
CSCD
2006年第2期124-126,共3页
Chinese Journal of Medical Imaging
关键词
胃肿瘤
肿瘤复发
超声检查
gastric carcinoma
recurrent carcinoma
ultrasonograph
