超声在老年人空腹时诊断胃癌的应用价值  

The Application Value of Fasting Condition Ultrasound in Diagnosis for Elderly Patients with Gastric Cancer

作　　者：赵静[1] 毛树彪 林蔚[1] 张莹莹[1] 白旭东[1] 

机构地区：[1]吉林大学第二临床医院超声科,长春市130021 [2]双辽市中心医院超声科

出　　处：《中国超声医学杂志》2012年第4期370-373,共4页Chinese Journal of Ultrasound in Medicine

基　　金：吉林大学研究生创新研究计划项目资助(No.20111074)

摘　　要：目的探讨空腹条件下超声在老年人胃癌诊断与预后中的应用价值。方法回顾性分析41例超声诊断为胃癌的老年患者的临床资料,将其结果与手术病理对照分析。结果超声诊断与病理符合39例(95.12%),超声定位诊断与病理符合33例(84.6%),平均符合率为77.50%;进展期胃癌(T_2～T_3期)与晚期胃癌(T_4期)的胃壁厚度差异有显著性(P<0.05);血流分级与病理分期及分化程度的关系,其差异有显著性意义(P<0.05)结论空腹条件下超声检查可作为老年人胃癌筛查的一种首选方法,可为其诊断及预后评估提供重信息。Objective To explore the application value of fasting condition ultrasound in the diagnosis and prognosis for elderly patients with gastric cancer. Methods The clinical data of 41 cases of elderly patients with gastric cancer diagnosised by ultrasound were analyzed, and the results were contrasted with pathology. Results The correct rate of ultrasound diagnosis with pathology was 95.12% （39/41）, and the rate of correct location was 84.6% （33/39）, the average accordance rate was 77.5 %. There was significant difference between the advanced gastric cancer and the late gastric cancer in stomach wall thickness （P〈0.05）. There was significant difference between the classification of blood flow and pathological staging differentiation （P〈0.05）. Conclusions Fasting condition ultrasound with its significant value in clinical diagnosis and prognosis, is one of the chief diagnostic technique for elderly patients with gas tric cancer.

关 键 词：空腹 超声 老年人 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]