实用癌症杂志
實用癌癥雜誌
실용암증잡지
The Practical Journal of Cancer
2015年
12期
1931-1933
,共3页
梁远仲%罗家滨%普福顺%吴晶晶%舒毅%张自生%吴丽霞%罗金勇%彭义%王梅
樑遠仲%囉傢濱%普福順%吳晶晶%舒毅%張自生%吳麗霞%囉金勇%彭義%王梅
량원중%라가빈%보복순%오정정%서의%장자생%오려하%라금용%팽의%왕매
胃肠道上皮内瘤%胃癌%分期%螺旋CT
胃腸道上皮內瘤%胃癌%分期%螺鏇CT
위장도상피내류%위암%분기%라선CT
Gastrointestinal tract epithelial tumors%Gastric cancer%Staging%Spiral CT
目的：评估64排螺旋CT增强鉴别对胃肠道上皮内瘤和早期癌的诊断效果。方法回顾性研究28例接受手术和CT鉴别的胃癌患者临床资料。 CT鉴别结果均为肿瘤部位，胃壁的厚度，肿瘤的扩展，N1和N2淋巴结受累情况。比较螺旋CT鉴别和病理诊断结果。结果螺旋CT鉴别正确分期为20例（71．4％）。12例患者（42．9％）胃壁厚度＜2 cm，其中10例（83．3％）浆膜受累，其余2例患者胃壁厚度分别为0．5和1．0 cm。16例（57．1％）患者胃壁厚度＞2 cm，且均有浆膜受累。 CT评估胰腺侵入的敏感性、特异性和准确性分别为100．0％，73．9％和78．6％。螺旋CT评估浆膜受累有（无）邻近器官浸润的敏感性，特异性和准确性达到96．2％，100．0％和96．4％。螺旋CT评估病理淋巴结的敏感性、特异性和准确性分别为73．1％、50．0％和71．4％。结论螺旋CT是胃癌术前分期和早期胃癌诊断的优选技术。
目的：評估64排螺鏇CT增彊鑒彆對胃腸道上皮內瘤和早期癌的診斷效果。方法迴顧性研究28例接受手術和CT鑒彆的胃癌患者臨床資料。 CT鑒彆結果均為腫瘤部位，胃壁的厚度，腫瘤的擴展，N1和N2淋巴結受纍情況。比較螺鏇CT鑒彆和病理診斷結果。結果螺鏇CT鑒彆正確分期為20例（71．4％）。12例患者（42．9％）胃壁厚度＜2 cm，其中10例（83．3％）漿膜受纍，其餘2例患者胃壁厚度分彆為0．5和1．0 cm。16例（57．1％）患者胃壁厚度＞2 cm，且均有漿膜受纍。 CT評估胰腺侵入的敏感性、特異性和準確性分彆為100．0％，73．9％和78．6％。螺鏇CT評估漿膜受纍有（無）鄰近器官浸潤的敏感性，特異性和準確性達到96．2％，100．0％和96．4％。螺鏇CT評估病理淋巴結的敏感性、特異性和準確性分彆為73．1％、50．0％和71．4％。結論螺鏇CT是胃癌術前分期和早期胃癌診斷的優選技術。
목적：평고64배라선CT증강감별대위장도상피내류화조기암적진단효과。방법회고성연구28례접수수술화CT감별적위암환자림상자료。 CT감별결과균위종류부위，위벽적후도，종류적확전，N1화N2림파결수루정황。비교라선CT감별화병리진단결과。결과라선CT감별정학분기위20례（71．4％）。12례환자（42．9％）위벽후도＜2 cm，기중10례（83．3％）장막수루，기여2례환자위벽후도분별위0．5화1．0 cm。16례（57．1％）환자위벽후도＞2 cm，차균유장막수루。 CT평고이선침입적민감성、특이성화준학성분별위100．0％，73．9％화78．6％。라선CT평고장막수루유（무）린근기관침윤적민감성，특이성화준학성체도96．2％，100．0％화96．4％。라선CT평고병리림파결적민감성、특이성화준학성분별위73．1％、50．0％화71．4％。결론라선CT시위암술전분기화조기위암진단적우선기술。
Objective To assess the value of 64-slice spiral CT in the differential diagnosis of the gastrointestinal tract intraepithelial neoplasia and early cancer.Methods A retrospective study of clinical data of 28 patients with gastric cancer who underwent surgery and CT scans were conducted.CT scans of the tumor in all patients included stomach wall thickness,tumor ex-tension,N1 and N2 lymph node involvement,liver,peritoneum,lung metastasis.Comparison of spiral CT and pathological findings and results were made.Results Spiral CT staging was correct in 20 (71.4%).12 cases (42.9%) of the stomach wall thick-ness <2 cm;10 cases(83.3%) had serosal involvement,and the remaining 2 cases with gastric wall thickness were 0.5 and 1.0 cm.16 cases (57.1%) with gastric wall thickness>2 cm and all patients had serosal involvement.Sensitivity,specificity,and ac-curacy of CT assessment of pancreatic invasion were 100.0%,73.9%and 78.6%.Sensitivity,specificity,and accuracy of spiral CT assessment of serosal involvement with/without adjacent organ invasion were 96.2%,100.0%and 96.4%.Sensitivity,speci-ficity and accuracy of spiral CT in the evaluation of pathological lymph nodes were 71.4%,50.0% and 73.1%.Conclusion Spiral CT is the preferred technique in the diagnosis of preoperative staging of gastric cancer and early gastric cancer.
