体表超声对进展期贲门癌的诊断价值  

Evaluation on advanced cardiac carcinoma with transabdominal ultrasound

作　　者：张敬安[1] 程东风[2] 

机构地区：[1]安徽医科大学附属安徽省立医院,安徽合肥230001 [2]山东省济南市第四人民医院,山东济南250033

出　　处：《中国中西医结合影像学杂志》2011年第4期318-321,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨经体表超声判断贲门癌沿食管向上侵犯的长度及浸润深度的准确性,及其在外科治疗方案选择中的价值。方法:经体表超声对40例贲门癌患者探查,重点观察肿瘤侵犯食管长度及是否侵犯浆膜,并与术后病理结果对照。结果:超声诊断肿瘤侵犯外膜的灵敏性为71.0%,特异性为77.8%,总的符合率为72.5%。4例食管没有受到侵犯的患者诊断符合率为100%,36例食管侵犯的患者超声诊断的符合率为78%(28/36)。贲门癌沿食管向上侵犯长度超声测量误差为(0.77±0.46)cm。结论:体表超声在贲门癌诊断中发挥重要作用,尤其是能够对受侵犯食管的长度及浸润深度作出判断,对外科治疗方案的选择有着很高的参考价值。Objective： To explore the role of transabdominal ultrasonography in the accurate assessment of the length of esophageal invasion and the depth of esophageal wall penetration by cardiac carcinoma before surgery and its value of decision of surgical approach. Methods： Transabdominal ultrasonography was carried out prospectively on 40 patients with cardiac carcinoma, and paid close attention to the length of esophageal invasion and the depth of esophageal wall penetration by cardiac carcinoma. What we got was correlated with the histopathological assessment of tumor. Results： Transabdominal ultrasonography had o- verall coincidence rate of 72.5%, specificity of 77.8% and sensitivity of 71.0% in affirming invasion of adventitia. An absence of esophageal invasion was fully correctly predicted by transabdominal ultrasonography in 4 patients. Histopathological confirmed invasion of the esophagus was correctly predicted in 28 of 36 patients with a margin of error of （0. 77 ±0. 46） cm. Conclusion：Transabdominal ultrasonography can be an important role for diagnosing the cardiac carcinoma, especially for the length of esophageal invasion and the depth of esophageal wall penetration, and can possess great value of selection of the surgi- cal approach.

关 键 词：超声检查 胃肿瘤 

分 类 号：R735.2[医药卫生—肿瘤] R445.1[医药卫生—临床医学]