CAJ | 학술논문

目的：分析和探讨多排螺旋CT在进行胃肠道间质瘤诊断活动中的实际效果以及价值。方法选择2013年12月～2014年12月来发现的30例胃肠道间质瘤患者临床资料作为研究对象，对其实施多排螺旋CT平扫，并对诊断结果与病理学进行对照分析。结果出现肿瘤的患者大都表现为单发，其中12例发生在胃部、3例发生在食道、3例发生在小肠、2例发生在十二指肠、3例发生在2结肠，其余的5例发生在患者胃肠道之外。患者的CT平扫表现为腔内外密度稍低的软组织肿块，其边界较为清晰，形状为圆形、类圆形。良性的GIST密度和强化相对均匀，恶性者密度以及强化则不够均匀。对于患者CT征象包括肿块的大小、位置、密度、形状以及强化程度与病症的恶性或者良性关系进行统计学分析，患者的数据差异存在明显的统计学意义。结论通过多排螺旋CT诊断技术能够更加清晰地对肿块数量、大小、位置、边缘、形状、强化特点以及内部密度进行显示，对于提升患者胃肠道间质瘤的诊断准确率以及检出率有着显著的影响，值得在今后的临床诊断以及治疗活动中对其进行推广。
목적：분석화탐토다배라선CT재진행위장도간질류진단활동중적실제효과이급개치。방법선택2013년12월～2014년12월래발현적30례위장도간질류환자림상자료작위연구대상，대기실시다배라선CT평소，병대진단결과여병이학진행대조분석。결과출현종류적환자대도표현위단발，기중12례발생재위부、3례발생재식도、3례발생재소장、2례발생재십이지장、3례발생재2결장，기여적5례발생재환자위장도지외。환자적CT평소표현위강내외밀도초저적연조직종괴，기변계교위청석，형상위원형、류원형。량성적GIST밀도화강화상대균균，악성자밀도이급강화칙불구균균。대우환자CT정상포괄종괴적대소、위치、밀도、형상이급강화정도여병증적악성혹자량성관계진행통계학분석，환자적수거차이존재명현적통계학의의。결론통과다배라선CT진단기술능구경가청석지대종괴수량、대소、위치、변연、형상、강화특점이급내부밀도진행현시，대우제승환자위장도간질류적진단준학솔이급검출솔유착현저적영향，치득재금후적림상진단이급치료활동중대기진행추엄。
Objective The purpose of this paper is to analyze and discuss the practical effect of multi-slice spiral CT in the diagnosis of gastrointestinal stromal tumor in the activity and value. Method Select 2013 December to 2014 December found 30 cases of gastrointestinal stromal tumors in patients with clinical data as the research object, the implementation of multi slice spiral CT plain scan, and the diagnostic results were compared and analyzed with pathology. Results The emergence of tumor patients mostly manifested as solitary, of which 12 cases occurred in the stomach, 3 cases occurred in the esophagus, 3 cases occurred in the small intestine, 2 cases occurred in the duodenum, 3 cases occurred in the colon in 2, the remaining 5 cases occur in patients with gastrointestinal tract. Plain CT scans of patients with external and internal wall of lower density soft tissue mass, the boundary is clear, the shape is circular, oval. And strengthen the benign GIST density relative uniformity, density and enhancement is less uniform malignant. For patients with signs of CT include tumor size, location, density, shape and degree of enhancement and malignant or benign disease relationship were analyzed statistically, significant differences exist in the data of patients. Conclusion By multi slice spiral CT diagnosis technology can display on the mass number, size, position, shape, edge, strengthening characteristics and internal density more clearly, to improve patients with gastrointestinal stromal tumors: diagnosis accuracy rate and has significantly affected the detection rate, and it is worthy to popularize in the clinical diagnosis of the future and treatment activities.