CAJ | 학술논문

目的研究64排CT血管三维重建(3D CTA)进行胃癌术前评估中对肿瘤血管侵犯的诊断价值.方法对2006年8月至2007年12月间经胃镜确诊为胃癌并接受手术探查的40例患者进行术前CT影像的CTA重建,判断胃周血管侵犯情况,与术中探查结果对比.结果 40例患者均成功进行CTA重建,14例提示血管侵犯的患者有12例术中探查证实血管侵犯;CTA判断血管侵犯的敏感性为98.1%,特异性为96.4%;术前CTA判断胃周血管是否受侵与手术判断的差异无统计学意义(x2=0.0099,P＞0.05).结论 64排3D CTA可作为胃癌是否侵犯血管的有效评估手段.
목적 연구64배CT혈관삼유중건(3D CTA)진행위암술전평고중대종류혈관침범적진단개치.방법 대2006년8월지2007년12월간경위경학진위위암병접수수술탐사적40례환자진행술전CT영상적CTA중건,판단위주혈관침범정황,여술중탐사결과대비.결과 40례환자균성공진행CTA중건,14례제시혈관침범적환자유12례술중탐사증실혈관침범;CTA판단혈관침범적민감성위98.1%,특이성위96.4%;술전CTA판단위주혈관시부수침여수술판단적차이무통계학의의(x2=0.0099,P＞0.05).결론 64배3D CTA가작위위암시부침범혈관적유효평고수단.
Objective To evaluate the preoperative diagnosis value of 64-slice spiral CT three dimensional angiography (3D CTA) for the vascular invasion in gastric cancer.Methods CT images of 40 patients diagnosed as gastric cancer by endoscope,who proceeded to surgical exploration from August 2006 to December 2007,were collected. These images were rebuilt by 3D CTA to judge vascular invasion by gastric cancer in comparison with the surgical finding as standard reference.Results Successful 3D CTA reconstructions were performed for all these 40 patient images.Out of 40 cases, 14 cases presented vascular invasion in the 3D CTA,and 12 of 14 cases were proved to have vascular invasion in the surgery.For assessing vascular invasion with CTA,the sensitivity was 98.1% and the specificity was 96.4% respectively(Chi Square X2=0.0099,P＞0.05).There was no significant differences regarding vascular invasion in gastric cancer between preoperative 3D CTA assessment and surgical finding. Conclusion Sixty-four-slice spiral CT 3D angiography is effective in assessing vascular invasion in gastric cancer and is also valuable in clinical application.