超声检查对预测胃癌可切除性的临床价值  

Clinical Value of Ultrasonography on ResectaMity Propect of Gastric Cancer

作　　者：薛建设[1] 安一明[1] 五敦德 陈晓宇[1] 林国昌 

机构地区：[1]中国人民解放军第四七六医院特诊科,福州市洪山桥350002

出　　处：《临床超声医学杂志》1999年第3期148-149,共2页Journal of Clinical Ultrasound in Medicine

摘　　要：应用超声、胃镜和x线钡餐造影(GI)对236例胃癌进行检查,其中143例与手术病理对照研究。术前超声、胃镜和GI提示肿瘤大小与手术所见符合率分别为94%、95%和91%,三组间无明显差异(P＞0.05)。术前超声发现腹腔淋巴结转移和邻近脏器转移灶明显优于胃镜组和GI组(P＜0.01)。提示超声检查可提供肿瘤侵犯胃壁深度、周围浸润、腹腔淋巴结和邻近器官转移情况,为临床设计手术方案提供参考依据。ObjectiveTo provide the basis for predetermined operative plan of gastric cancer. Methods Ultrasonograph, gas-troscopy and GI were used to examine 236 cases of gastric cancer and controled with the results of 143 operative cases. Results: con-troled with operative observation, the correspondace rates of ultrasonography, gastroscopy and GI preoperative examintion in size and shape of tumor in 134 operated cases were 94% , 95 %, and 91 % , respectively, there was no significant difference in three groups (P> 0.05) . The discovered rates of metasbasis to lymph nodes and distant organs in 236 cases of gastric cancer with ultrasonograph were significantly higher than that with gastroscopy and GI preoperative examination (P < 0.01) . Conclusions: Ultrasonograph can discover the invasion layer, infiltration of neighboring organs and metasbasis to lymph nodes, can provide the reference basis for clinical predetermined operative plan.

关 键 词：可切除性 胃肿瘤 超声波诊断 

分 类 号：R735.204[医药卫生—肿瘤] R730.41[医药卫生—临床医学]