CAJ | 학술논문

目的：探讨胃癌的CT诊断征象及其临床诊治价值。方法收集60例经胃镜、病理活检证实的胃癌患者CT资料，其中54例手术。胃对比剂用1.5%泛影葡胺或水。42例检查前10 min肌内注射山莨菪碱10~20 mg。60例行CT平扫，其中24例经肘静脉团注注入60%泛影葡胺80 mL增强。结果胃癌CT表现为病变区胃壁增厚，软组织肿块影，合并溃疡时表现为增厚胃壁及肿块内的腔内龛影。CT可同时发现胃癌的邻近侵犯及远处转移。结论CT可作为胃癌诊断方法之一，并有其独特的优势。胃癌CT检查的现阶段目的为疗前评估，指导临床制订合理的治疗方案。
목적：탐토위암적CT진단정상급기림상진치개치。방법수집60례경위경、병리활검증실적위암환자CT자료，기중54례수술。위대비제용1.5%범영포알혹수。42례검사전10 min기내주사산랑탕감10~20 mg。60례행CT평소，기중24례경주정맥단주주입60%범영포알80 mL증강。결과위암CT표현위병변구위벽증후，연조직종괴영，합병궤양시표현위증후위벽급종괴내적강내감영。CT가동시발현위암적린근침범급원처전이。결론CT가작위위암진단방법지일，병유기독특적우세。위암CT검사적현계단목적위료전평고，지도림상제정합리적치료방안。
Objective To evaluate the characteristics and value of CT in the diagnosis of gastric carcinoma. Methods A total of 60 patients with pathologically proven gastric carcinoma were examined by CT scan. Of 60 patients, 54 had surgical results. Meglumine diatrizoate (1.5%) and water were selected as contrast-medium. 10 min prior to CT scan, 42 patients received an intramuscular administration of anisodamine (10-20 mg). All the patients had no-enhanced CT scan. Among them 24 had bolus injection of meglumine diatrizoate as contrast-medium. Results Gastric carcinoma showed thickened gastric wall and soft tissue mass on CT. Irregular intracavitary niches appeared when gastric carcinoma was complicated with ulcer. Gastric wall rigidity and deformation were also shown on CT. The direct infiltration and distant metastasis of gastric carcinoma could be observed by CT. Conclusion CT is an effective method in diagnosis of gastric carcinoma. It has important values in staging of gastric carcinoma and guiding rational therapeutic plan.