不同影像学检查在胃平滑肌肉瘤诊断中的应用价值  

Diagnosis Value of Different Image Examination on Gastric Leiomyosarcoma

作　　者：曾艳 周永生 谭世奇 

机构地区：广东深圳市宝安区人民医院,518101

出　　处：《中外健康文摘：医药月刊》2008年第4期52-53,共2页

摘　　要：目的探讨胃平滑肌肉瘤的X线、超声胃镜、CT、MRI及胃镜的影像特点及应用价值。方法回顾性分析总结28例经术后病理证实的胃平滑肌肉瘤患者的超声胃镜、X线、CT、MRI及胃镜表现,比较各种影像学检查方法的优缺点。结果超声胃镜检查7例,胃内型2例,胃外型2例,胃内外型3例 X线检查胃内型3例,胃外型5例,胃内外型4例;胃镜检查胃内型2例,胃内外型3例;CT检查胃外型5例,胃内外型3例;MRI检查胃外型7、胃内外型3例。结论超声胃镜及MRI对该病诊断准确率较高,X线及CT次之,胃镜对该病诊断准确性较差。Objective To investigate image features of X-ray, ultrasonic gastroseopy, CT, MRI and gastroscope of gastric leiomyosarcoma and application value. Methods Features of X-ray gastroseope ultrasonic gastroseopy, CT and MRI of gastric leiomyosarcoma in 28 cases confirmed by operation and pathology. Results Ultrasonic gastroseopy examination intraluminal type 2 cases, extraluminal type 2 eases, mixed type 3 cases. X-ray examination intraluminal type 3 cases, extraluminal type 5 cases, mixed type 4 cases. CT examination intralluminal type 5 cases, mixed type 3 eases. MRI examined extraluminal type 7 eases, extraluminal type 3 cases： gastroseope examination intraluminal type 2 cases, extraluminal type 3 cases, mixed type 5 cases. Diagnosis accurate 4 cases. Conclusion Uultrasonic gastroscopy and MR / examination are the most accurate for diagnosis of gastric leiomyosarcoma, X -ray and CT are more accurate for diagnosis of gastric leiomyosarcoma： Gastroseope is worse for diagnosis of gastric leiomyosarcoma.

关 键 词：平滑肌组织瘤 X线计算机 胃镜检查 超声检查 磁共振成像 

分 类 号：R735.2[医药卫生—肿瘤;医药卫生—临床医学]