CAJ | 학술논문

目的探讨多排螺旋CT(MDCT)低张力动态增强扫描对进展期胃癌术前评估的价值.方法对43例进展期胃癌患者行MDCT低张力动态增强扫描,判断肿瘤诊断及分期,预测手术可切除性,并与病理学结果进行比较.结果本组43例行手术治疗,其中36例行手术切除,7例行肠胃吻合术.MDCT术前T分期总体符合率为76.7％(33/43),术前N分期总体符合率为74.4％(32/43).胃壁厚度与浆膜浸润密切相关(x 2=20.1709,P＜ 0.001).结论 MDCT低张力动态增强扫描能够较全面、准确地反应进展期胃癌T、N分期,能够为胃癌术前诊断和治疗提供指导.
목적 탐토다배라선CT(MDCT)저장력동태증강소묘대진전기위암술전평고적개치.방법 대43례진전기위암환자행MDCT저장력동태증강소묘,판단종류진단급분기,예측수술가절제성,병여병이학결과진행비교.결과 본조43례행수술치료,기중36례행수술절제,7례행장위문합술.MDCT술전T분기총체부합솔위76.7％(33/43),술전N분기총체부합솔위74.4％(32/43).위벽후도여장막침윤밀절상관(x 2=20.1709,P＜ 0.001).결론 MDCT저장력동태증강소묘능구교전면、준학지반응진전기위암T、N분기,능구위위암술전진단화치료제공지도.
Objective To investigate the value of muhi-detector CT (MDCT) low tension dynamic enhanced scanning on the preoperative assessment of advanced gastric cancer.Methods MDCT low tension dynamic enhanced scanning,tumor diagnosis and staging and prediction of surgery operation were performed on 43 cases of advanced gastric cancer.And the above results were compared with pathology results.Results The 36 cases were treated with resection,while 7 cases were treated by gastrointestinal anastomosis.The MDCT had 76.7 ％ (33/43) of accuracy for the preoperative T staging and 74.4 ％ (32/43) of accuracy for the preoperative N staging,respectively.The stomach wall thickness was closely related to serosal invasion (x2 =20.170 9,P ＜ 0.001).Conclusions The MDCT low tension dynamic enhanced scanning can improve the comprehensiveness and accuracy of preoperative staging of T and N in advanced gastric cancer.It is valuable for the preoperative diagnosis and treatment of gastric cancer.