术前胃癌MSCT检查对临床手术的指导作用  

The Guidance for the Clinical Operation of Gastric Cancer of Preoperative MSCT Examination

作　　者：颜显杰 朱志强[1] 连永伟[1] 李文[1] 

机构地区：[1]广东省梅州市人民医院,广东梅州514031

出　　处：《中国医学创新》2013年第36期72-73,共2页Medical Innovation of China

基　　金：广东省梅州市科技计划项目(2013B09)

摘　　要：目的:讨论胃癌手术前行双螺旋CT即MSCT检查对临床手术的指导作用。方法:回顾本院200例术后病理确诊为胃癌患者的术前MSCT表现,对比MSCT对胃癌分期的诊断与手术后病理结果。结果:MSCT术前对胃癌浆膜面侵犯敏感度为95.6%(172/180),特异度为71.4%(20/28);MSCT术前TNM分期与术后病理TNM分期比较差异无统计学意义(P>0.05)。结论:MSCT对胃癌的术前分期与切除后病理符合率高,可有效的为治疗提供依据。Objective：To discuss the directive function of the MSCT examination of gastric cancer before the clinical operation. Method：The clinical and MSCT imaging data of 200 patients which were proved to be gastric cancer after operation. The result between the pre-operation MSCT diagnosis and postoperative pathology were compared. Result：The sensitivity and specificity of MSCT in gastric cancer serosal surface invasion was 95.6%（172/180）,71.4%（20/28）;there were no statistically significant difference between MSCT preoperative staging and pathological staging（P〉0.05）. Conclusions：The coincidence of preoperative staging and pathological TNM of gastric malignant tumor by MSCT is high. It has high diagnostic rate which can provide the basis for effective treatment.

关 键 词：胃癌 MSCT 术后病理 比较 诊断 肿瘤分期 

分 类 号：R735.2[医药卫生—肿瘤]