摘要
目的：综合评价ＣＴ在胃癌诊断中的作用。材料与方法：１９８９年１月～１９９４年４月，共２６９例胃异常病变患者接受了ＣＴ检查，肿瘤性病变者２３８例，其中胃癌１９８例，均属中晚期，７８例为回顾性分析，１２０例为前瞻性研究，１６２例经手术和病理证实。ＣＴ机为ＧＥＣＴ／９８００Ｑｕｉｃｋ，检查前１０分钟肌注６５４－２２０ｍｇ，口服水１０００ｍｌ作为对比剂，患者体位根据病灶部位而定。结果：采用新的ＣＴ检查技术，病变检出率１００％，定性准确率９０％，采用Ｂｏｒｒｍａｎｎ分型法ＣＴ分型准确性９４．３％，对７５例胃癌进行了前瞻性术前分期研究，采用统一的ＴＮＭ分期，并与手术病理严格对照，胃癌ＣＴ分期总的准确性８５．３３％，术前切除可能性估价的准确性为９２％。结论：采用新的ＣＴ检查技术，利用ＣＴ独特的显示胃腔内面，及胃壁本身腔外改变的优势，可进行胃癌的ＣＴ诊断，分型，分期和术前估价。
Objective: To evaluation the role of CT in the diagnosis of gastric carcinoma.Materials and Methods:Two hundred and sixty nine patients with gastric lesions did CT examination, including gastric tumors of 238 cases of which 198 patients with advanced gastric carcinoma. 78 and 120 cases with gastric carcinoma were retrospectively and prospectively studied. All cases were confirmed either by surgiopathology (n=162) or by only endoscopic biopsy (n=36). The scans were obtained with a GE CT/9800 qiuck scanner. Intramuscular injection of hypotonic agent (654-2 20mg) was done ten minutes before the examination and the patients were all asked to drink 1000ml water as oral contrast medium.Results:CT accuracy of determining the nature of the lesion reached to 90%, CT morphologic classfication of gastric carcinoma (Borrmann system) corresponded with pathologic finding in 94.3% of cases. CT versus surgical staging of gastric carcinoma and preoperative assessment of surgical resectability, CT correctly staged 64 of 75 cases with gastric carcinoma (85.33%). The accuracy of CT preoperative evaluation for surgical resectability was 92%.Conclusion: Using new CT technique, CT is a reliable methods for diagnosing, staging and classificating of gastric carcinoma.
出处
《临床放射学杂志》
CSCD
北大核心
1997年第6期352-354,共3页
Journal of Clinical Radiology
关键词
胃肿瘤
CT
诊断
Gastric carcinoma Diagnosis Computed tomography
