中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2013年
2期
86-89
,共4页
俞耀军%何慧疗%盛维为%卢明东%孙维建%李丕宏%王飞海%郑志强%程建敏
俞耀軍%何慧療%盛維為%盧明東%孫維建%李丕宏%王飛海%鄭誌彊%程建敏
유요군%하혜료%성유위%로명동%손유건%리비굉%왕비해%정지강%정건민
胃肿瘤%肿瘤转移%超声检查%体层摄影术,螺旋计算机
胃腫瘤%腫瘤轉移%超聲檢查%體層攝影術,螺鏇計算機
위종류%종류전이%초성검사%체층섭영술,라선계산궤
Stomach neoplasms%Neoplsm metastasis%Ultrasonography%Tomography,spiral computed
目的 在判断胃癌术前淋巴结转移中,通过与螺旋CT检查比较各自的正确率,探讨超声双重造影检查(DCUS)的价值.方法 选择150例经胃镜活检证实为胃癌并进行手术切除的患者,在手术前5d内进行DCUS及螺旋CT检查,根据肿瘤位置不同将各组淋巴结分为3站,对淋巴结转移个数和各站淋巴结转移情况进行术前判断,与术后病理检查结果对照得出正确率,并进行相互间比较.结果 根据淋巴结转移个数,DCUS检查和螺旋CT检查对阳性淋巴结判断总的正确率及N1、N2、N3各期的正确率分别为86.0％比81.4％、82.6％比73.9％、78.1％比75.0％及81.0％比76.2％,两者比较差异均无统计学意义(均P＞0.05)；根据阳性淋巴结分站不同,DCUS检查对第1站阳性淋巴结判断的正确率为88.6％,高于螺旋CT检查的68.6％(x2=4.158,P＜0.05),对第2站和第3站阳性淋巴结判断的正确率分别为74.1％比81.5％和71.4％比78.6％,两者之间相比差异均无统计学意义(均P ＞0.05).结论 在术前判断胃癌淋巴结转移方面DCUS检查有较好的应用价值,尤其是进行分站评价时,其第1站的正确率高于螺旋CT检查.
目的 在判斷胃癌術前淋巴結轉移中,通過與螺鏇CT檢查比較各自的正確率,探討超聲雙重造影檢查(DCUS)的價值.方法 選擇150例經胃鏡活檢證實為胃癌併進行手術切除的患者,在手術前5d內進行DCUS及螺鏇CT檢查,根據腫瘤位置不同將各組淋巴結分為3站,對淋巴結轉移箇數和各站淋巴結轉移情況進行術前判斷,與術後病理檢查結果對照得齣正確率,併進行相互間比較.結果 根據淋巴結轉移箇數,DCUS檢查和螺鏇CT檢查對暘性淋巴結判斷總的正確率及N1、N2、N3各期的正確率分彆為86.0％比81.4％、82.6％比73.9％、78.1％比75.0％及81.0％比76.2％,兩者比較差異均無統計學意義(均P＞0.05)；根據暘性淋巴結分站不同,DCUS檢查對第1站暘性淋巴結判斷的正確率為88.6％,高于螺鏇CT檢查的68.6％(x2=4.158,P＜0.05),對第2站和第3站暘性淋巴結判斷的正確率分彆為74.1％比81.5％和71.4％比78.6％,兩者之間相比差異均無統計學意義(均P ＞0.05).結論 在術前判斷胃癌淋巴結轉移方麵DCUS檢查有較好的應用價值,尤其是進行分站評價時,其第1站的正確率高于螺鏇CT檢查.
목적 재판단위암술전림파결전이중,통과여라선CT검사비교각자적정학솔,탐토초성쌍중조영검사(DCUS)적개치.방법 선택150례경위경활검증실위위암병진행수술절제적환자,재수술전5d내진행DCUS급라선CT검사,근거종류위치불동장각조림파결분위3참,대림파결전이개수화각참림파결전이정황진행술전판단,여술후병리검사결과대조득출정학솔,병진행상호간비교.결과 근거림파결전이개수,DCUS검사화라선CT검사대양성림파결판단총적정학솔급N1、N2、N3각기적정학솔분별위86.0％비81.4％、82.6％비73.9％、78.1％비75.0％급81.0％비76.2％,량자비교차이균무통계학의의(균P＞0.05)；근거양성림파결분참불동,DCUS검사대제1참양성림파결판단적정학솔위88.6％,고우라선CT검사적68.6％(x2=4.158,P＜0.05),대제2참화제3참양성림파결판단적정학솔분별위74.1％비81.5％화71.4％비78.6％,량자지간상비차이균무통계학의의(균P ＞0.05).결론 재술전판단위암림파결전이방면DCUS검사유교호적응용개치,우기시진행분참평개시,기제1참적정학솔고우라선CT검사.
Objective To compare the accuracy of double contrast enhanced ultrasound (DCUS)with spiral CT in the preoperative evaluation of lymph node metastasis in gastric carcinomas.Methods This study included 150 patients with biopsy proven gastric cancer who underwent surgical resection as primary management of their malignancies.All patients underwent DCUS and spiral CT prior to surgery.The results of the ultrasound and CT findings were compared with the pathological results of the resected lymph nodes.Results According to the number of metastasis lymph nodes,the overall accuracy and that on each stage (N1,N2,N3) of DCUS and spiral CT was 86.0％ vs.81.4％,82.6％ vs.73.9％,78.1％ vs.75.0％ and 81.0％ vs.76.2％,there was no significant difference between them(P ＞0.05).By metastasis lymph node station,DCUS detected a higher percentage of positive lymph nodes than spiral CT at the first station(88.6％ vs.68.6％,x2 =4.158,P ＜0.05).Lymph nodes were correctly judged with DCUS and spiral CT in 74.1％ vs.81.5％ at second station and 71.4％ vs.78.6％ at third station respectively (P ＞ 0.05).Conclusions Double contrast-enhanced ultrasonography offers alternative reliable approach for the preoperative judging lymph node metastasis of gastric cancer.DCUS was comparable to spiral CT in lymph node station evaluation,DCUS offers an advantage in the detection of the first station lymph node metastases.
