中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
22期
132-135
,共4页
恶性肿瘤%腹膜转移%18F-FDG PET-CT%腹部增强CT%诊断
噁性腫瘤%腹膜轉移%18F-FDG PET-CT%腹部增彊CT%診斷
악성종류%복막전이%18F-FDG PET-CT%복부증강CT%진단
Malignancies%Peritoneal metastasis%18F-FDG PET-CT%Abdomen enhancement CT%Diagnosis
目的：比较18F脱氧葡萄糖(18F-FDG)PET-CT和腹部增强CT在腹膜转移瘤诊断中的临床价值。方法对泰安市中心医院2011年10月~2015年1月收治的109例怀疑腹膜转移瘤的患者进行18F-FDG PET-CT和腹部增强CT检查，通过病理检查和临床随访相互印证的方式证实患者确实存在腹膜转移瘤，比较两种方法在腹膜转移瘤诊断上的临床价值。结果85例出现了腹膜转移，24例未出现腹膜转移。PET-CT对诊断腹膜转移瘤的特异度为79.2%(19/24)，敏感度为92.9%(79/85)，准确性为89.9%(98/109)，其中有3例假阳性和8例假阴性；腹部增强CT诊断腹膜转移瘤的特异度为70.8%(17/24)，敏感度为67.1%(57/85)，准确性为67.9%(74/109)，其中有5例假阳性和30例假阴性。两种方法的诊断准确率比较差异有高度统计学意义(χ2=9.196，P=0.002)。结论18F-FDG PET-CT在腹膜转移瘤诊断上的临床价值明显高于腹部增强CT。
目的：比較18F脫氧葡萄糖(18F-FDG)PET-CT和腹部增彊CT在腹膜轉移瘤診斷中的臨床價值。方法對泰安市中心醫院2011年10月~2015年1月收治的109例懷疑腹膜轉移瘤的患者進行18F-FDG PET-CT和腹部增彊CT檢查，通過病理檢查和臨床隨訪相互印證的方式證實患者確實存在腹膜轉移瘤，比較兩種方法在腹膜轉移瘤診斷上的臨床價值。結果85例齣現瞭腹膜轉移，24例未齣現腹膜轉移。PET-CT對診斷腹膜轉移瘤的特異度為79.2%(19/24)，敏感度為92.9%(79/85)，準確性為89.9%(98/109)，其中有3例假暘性和8例假陰性；腹部增彊CT診斷腹膜轉移瘤的特異度為70.8%(17/24)，敏感度為67.1%(57/85)，準確性為67.9%(74/109)，其中有5例假暘性和30例假陰性。兩種方法的診斷準確率比較差異有高度統計學意義(χ2=9.196，P=0.002)。結論18F-FDG PET-CT在腹膜轉移瘤診斷上的臨床價值明顯高于腹部增彊CT。
목적：비교18F탈양포도당(18F-FDG)PET-CT화복부증강CT재복막전이류진단중적림상개치。방법대태안시중심의원2011년10월~2015년1월수치적109례부의복막전이류적환자진행18F-FDG PET-CT화복부증강CT검사，통과병리검사화림상수방상호인증적방식증실환자학실존재복막전이류，비교량충방법재복막전이류진단상적림상개치。결과85례출현료복막전이，24례미출현복막전이。PET-CT대진단복막전이류적특이도위79.2%(19/24)，민감도위92.9%(79/85)，준학성위89.9%(98/109)，기중유3례가양성화8례가음성；복부증강CT진단복막전이류적특이도위70.8%(17/24)，민감도위67.1%(57/85)，준학성위67.9%(74/109)，기중유5례가양성화30례가음성。량충방법적진단준학솔비교차이유고도통계학의의(χ2=9.196，P=0.002)。결론18F-FDG PET-CT재복막전이류진단상적림상개치명현고우복부증강CT。
Objective To compare diagnostic value of 18F-FDG PET-CT and abdomen enhancement CT in peritoneal metastasis. Methods From October 2011 to January 2015, 109 patients suspected peritoneal metastases in the Central Hospital of Tai'an were admitted to 18F-FDG PET-CT and abdominal CT examination. Clinical value in the diagnosis of peritoneal metastases of the two methods were compared. Final diagnosis was made by pathology and clinical follow-up. Results 85 patients were confirmed peritoneal metastases after pathological examination and clinical follow-up, while the other 24 patients were absent. The sensitivity of 18F-FDG PET-CT was 92.9% (79/85), the specificity was 79.2%(19/24), and the accuracy was 89.9% (98/109). There were 3 cases of false positive and 8 cases of false negative. The sensitivity of abdomen enhancement CT was 67.1% (57/85), the specificity was 70.8% (17/24), and the accuracy was 67.9%(74/109). There were 5 false positive cases and 30 false negative cases. The difference between the two methods was statistically significantly (χ2=9.196, P=0.002). Conclusion The diagnostic value of 18F-FDG PET-CT is significant-ly higher than that of abdomen enhancement CT for peritoneal metastasis staging analysis.
