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胃癌术前螺旋CT分期的临床意义

The significance of spiral CT in the stage of gastric carcinoma before operation
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摘要 目的:探讨胃癌术前人工气腹法螺旋CT(induccd pneumo-peritoneurn in spiral CT,SCTPP)检查对胃癌术前分期,选择治疗方案、确定手术方式的临床意义。方法;进展期胃癌52例先后进行常规SCT和SCTPP检查,检查结果与手术后病理结果进行对照。结果:常规SCT和SCTPP对T分期的准确性分别为72.3%和95.7%(P<0.05),对M分期的敏感性分别为61%和100%(P<0.05),二者均不能准确提供淋巴结转移情况。结论:SCTPP对术前判断胃癌局部病变情况及远处转移的准确性明显高于常规SCT,对选择治疗方案、确定手术方式具有重要的参考价值。 Objective: To study the clinical significane of induced pneumo-peritoneum in spiral CT ( SCTPP) in se- lection of both treatment methods and operation methods for gastric carcinoma. Methods: SCT and SCTPP were performed for 47 cases of gastric carcinoma. The results of SCT and SCTPP were compared with the results of postoperative pathology.Results: The accuracy of SCTPP and SCT in T (tumor, T) staging is 95.7% and 72.3% respectively (P<0.05). The sensitivity of SCTPP and SCT in M (metastasis, M) staging is 10096 and 61% respectively (P<0. 05). Conclusions:SCTPP is more accurate than SCT in preoperative T and M staging of gastric carcinoma , which might help us to select bothtreatment methods and operation methods.
作者 张谢夫
出处 《河南外科学杂志》 2003年第6期2-4,共3页 Henan Journal of Surgery
关键词 胃癌 螺旋CT 临床意义 术前分期 手术方式 人工气腹 Gastric carcinoma Stage Induced pneumoperitoneum Spiral CT
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