CAJ | 학술논문

目的：讨论胃癌手术前行双螺旋CT即MSCT检查对临床手术的指导作用。方法：回顾本院200例术后病理确诊为胃癌患者的术前MSCT表现，对比MSCT对胃癌分期的诊断与手术后病理结果。结果：MSCT术前对胃癌浆膜面侵犯敏感度为95.6%（172/180），特异度为71.4%（20/28）；MSCT术前TNM分期与术后病理TNM分期比较差异无统计学意义（P>0.05）。结论：MSCT对胃癌的术前分期与切除后病理符合率高，可有效的为治疗提供依据。
목적：토론위암수술전행쌍라선CT즉MSCT검사대림상수술적지도작용。방법：회고본원200례술후병리학진위위암환자적술전MSCT표현，대비MSCT대위암분기적진단여수술후병리결과。결과：MSCT술전대위암장막면침범민감도위95.6%（172/180），특이도위71.4%（20/28）；MSCT술전TNM분기여술후병리TNM분기비교차이무통계학의의（P>0.05）。결론：MSCT대위암적술전분기여절제후병리부합솔고，가유효적위치료제공의거。
Objective:To discuss the directive function of the MSCT examination of gastric cancer before the clinical operation. Method:The clinical and MSCT imaging data of 200 patients which were proved to be gastric cancer after operation. The result between the pre-operation MSCT diagnosis and postoperative pathology were compared. Result:The sensitivity and specificity of MSCT in gastric cancer serosal surface invasion was 95.6%(172/180),71.4%(20/28);there were no statistically significant difference between MSCT preoperative staging and pathological staging(P>0.05). Conclusions:The coincidence of preoperative staging and pathological TNM of gastric malignant tumor by MSCT is high. It has high diagnostic rate which can provide the basis for effective treatment.