中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
106-108
,共3页
胃癌%多层螺旋CT%术前
胃癌%多層螺鏇CT%術前
위암%다층라선CT%술전
Gastric cancer%Multi-slice spiral CT%Preoperative
目的：探讨多层螺旋CT对胃癌的术前评估价值。方法回顾性分析2013年1月~2014年1月于我科行CT检查的50例胃癌患者的临床资料及MSCT资料。全部病例 CT检查前均有胃镜及其他检查资料，其中16例行钡餐检查。所有患者术前1周内均行MSCT检查，并于1周内行胃癌D2根治手术。结果50例胃癌中，早期胃癌10例，进展期胃癌40例。胃壁增厚、异常强化及软组织肿块为胃癌的多层螺旋CT基本征象。依照手术病理结果提示进展期胃癌Borrmann分型，肿块型9例，局限溃疡型胃癌10例，浸润溃疡型20例，弥漫浸润型1例。50例胃癌MSCT诊断T1期2例、T2期4例、T3期24例、T4期20例。其中肝脏转移12例、肺部转移4例、肾上腺转移3例。结论对胃癌患者应用多层螺旋 CT扫描图像具有较高的参考价值，为临床医生选择合适的治疗方案提供了重要依据。
目的：探討多層螺鏇CT對胃癌的術前評估價值。方法迴顧性分析2013年1月~2014年1月于我科行CT檢查的50例胃癌患者的臨床資料及MSCT資料。全部病例 CT檢查前均有胃鏡及其他檢查資料，其中16例行鋇餐檢查。所有患者術前1週內均行MSCT檢查，併于1週內行胃癌D2根治手術。結果50例胃癌中，早期胃癌10例，進展期胃癌40例。胃壁增厚、異常彊化及軟組織腫塊為胃癌的多層螺鏇CT基本徵象。依照手術病理結果提示進展期胃癌Borrmann分型，腫塊型9例，跼限潰瘍型胃癌10例，浸潤潰瘍型20例，瀰漫浸潤型1例。50例胃癌MSCT診斷T1期2例、T2期4例、T3期24例、T4期20例。其中肝髒轉移12例、肺部轉移4例、腎上腺轉移3例。結論對胃癌患者應用多層螺鏇 CT掃描圖像具有較高的參攷價值，為臨床醫生選擇閤適的治療方案提供瞭重要依據。
목적：탐토다층라선CT대위암적술전평고개치。방법회고성분석2013년1월~2014년1월우아과행CT검사적50례위암환자적림상자료급MSCT자료。전부병례 CT검사전균유위경급기타검사자료，기중16례행패찬검사。소유환자술전1주내균행MSCT검사，병우1주내행위암D2근치수술。결과50례위암중，조기위암10례，진전기위암40례。위벽증후、이상강화급연조직종괴위위암적다층라선CT기본정상。의조수술병리결과제시진전기위암Borrmann분형，종괴형9례，국한궤양형위암10례，침윤궤양형20례，미만침윤형1례。50례위암MSCT진단T1기2례、T2기4례、T3기24례、T4기20례。기중간장전이12례、폐부전이4례、신상선전이3례。결론대위암환자응용다층라선 CT소묘도상구유교고적삼고개치，위림상의생선택합괄적치료방안제공료중요의거。
Objective To investigate the preoperative evaluation value of multi-slice spiral CT in gastric cancer. Methods The clinical data and MSCT data of 50 cases of gastric cancer from January 2013 to January 2014 in our department for CT examination were reviewed. All patients had CT examinations before gastroscopy and other inspection data, 16 of whom underwent barium meal examination. 1 week ago, all patients underwent MSCT examination inside, and D2 radical operation for gastric cancer in 1 week. Results In 50 cases of gastric carcinoma, 10 cases of early gastric cancer, 40 cases of advanced gastric carcinoma. Thickening, abnormal enhancement and soft tissue mass for the basic features of gastric carcinoma with multi-slice spiral CT. Divided into the mass type 9 cases, localized gastric cancer 10 cases, in-filtration ulcerative type in 20 cases,diffuse infiltrative type 1 case. 20 cases of MSCT diagnosis of 50 cases of gastric cancer and 2 cases of T1 stage, 4 cases of T2 stage, 24 cases of T3 stage,20 cases of T4 stage. Among 12 cases of liver metastasis, lung metastasis in 4 cases, 3 cases of adrenal metastasis. Conclusion The application of multi-slice spiral CT scanning in patients with gastric cancer has a high reference value, it provides an important basis for clinicians to select appropriate treatment options.
