CAJ | 학술논문

目的：探讨早期腹膜转移瘤的CT诊断价值。方法回顾性分析32例经病理证实的腹膜转移瘤的CT表现,并与手术结果对照。结果32例中，结直肠癌17例，胃癌11例，肝癌3例，胆囊癌1例。32例术中均见腹膜转移瘤，20例CT见局限性瘤周转移，CT检出率为62.5%。CT图像中，14例见大网膜异常，6例壁层腹膜增厚，1例小网膜异常，1例盆腔内囊性占位，25例见腹水。结论 CT能够清楚显示腹膜早期转移瘤的直接及间接征象，是早期诊断腹膜转移瘤的重要方法。
목적：탐토조기복막전이류적CT진단개치。방법회고성분석32례경병리증실적복막전이류적CT표현,병여수술결과대조。결과32례중，결직장암17례，위암11례，간암3례，담낭암1례。32례술중균견복막전이류，20례CT견국한성류주전이，CT검출솔위62.5%。CT도상중，14례견대망막이상，6례벽층복막증후，1례소망막이상，1례분강내낭성점위，25례견복수。결론 CT능구청초현시복막조기전이류적직접급간접정상，시조기진단복막전이류적중요방법。
Objective To evaluate the diagnose value of multi-slice spiral CT in early peritoneal metastases. Methods Multi-slice spiral CT findings were retrospectively analyzed in 32 patients with pathologically proved early peritoneal metastases and compared with surgical results. Results In the 32 patients, colorectal carcinoma were found in 17 cases, gastric cancer in 11 cases, hepatic cancer in 3 cases and gallbladder carcinoma in 1 cases. Intraoperative peritoneal metastases were found in all 32 patients while only 62.5%patients (n=20) showed regional peritoneal metastases in CT. In CT scan, larger omenta abnormalities were seen in 14 patients, thickening of the visceral peritoneum in 6 patients, smaller omenta abnormalities in 1 patient, cystic lesion in plevis in 1 patients, ascites in 25 patients. Conclusion Multi-slice spiral CT can show the direct and indirect signs of peritoneal metastases, thus it is an important imaging modality for the early diagnosis of peritoneal metastases.