64排螺旋CT与上消化道气钡双重造影对胃底贲门癌诊断价值的对比分析  

Value of pneumo-barium double contrast technique in diagnosis of gastric cardia cancer using 64-slice spiral computed tomography

作　　者：卢志鹏 

机构地区：[1]河南省郑州人民医院医学影像科,河南郑州450003

出　　处：《中国医学工程》2017年第10期4-6,共3页China Medical Engineering

摘　　要：目的探讨64排螺旋CT与上消化道气钡双重造影对胃底贲门癌的诊断价值。方法选取2015年8月‐2016年12月在该院接受治疗的疑似胃底贲门癌患者45例,对其临床资料进行回顾性分析。所有患者首先采用64排螺旋CT进行诊断,然后再用上消化道气钡双重造影诊断,比较两种诊断方式的检出率。结果术后病理学检查显示,45例疑似胃底贲门癌患者中40例患者确诊为胃底贲门癌,检出率为88.89%;经上消化道气钡双重造影确诊为胃底贲门癌者29例(其中假阳性3例),准确率65.0%(26/40);经64排螺旋CT确诊为胃底贲门癌者33例(其中假阳性1例),准确率80.0%(32/40);通过上消化道钡餐造影诊断出黏膜病变率和恶性龛影率分别为84.44%和66.67%,明显优于采用螺旋CT诊断出的55.56%和44.4%(P<0.05);通过上消化道钡餐造影诊断出胃壁增厚率为40.00%,明显低于螺旋CT诊断出的77.78%(P<0.05);通过上消化道钡餐造影诊断出软组织肿块率为77.78%,略高于采用螺旋CT诊断出的68.89%(P>0.05)。结论在临床上,对于胃底贲门癌患者进行诊断时,综合运用螺旋CT和上消化道钡餐造影诊断才能更好的判断和了解患者病情,从而有助于治疗,提高患者的预后,以此增强患者的生存质量与生存时间。【Objective】To evaluate the diagnostic value of 64-slice spiral computed tomography（CT） and upper gastrointestinal barium radiography in gastric cardia carcinoma.【Methods】Forty-five patients with suspected gastric cardia cancer treated in our hospital from August 2015 to December 2016 were retrospectively analyzed. All patients were first diagnosed with 64-slice spiral CT, then the upper gastrointestinal tract barium dual imaging diagnosis, and the detection rate of the two diagnostic methods was compared.【Results】Forty cases of gastric cardia carcinoma were confirmed by the pathological examination with the detection rate of 88.89%; twenty-nine cases were diagnosed by upper gastrointestinal air barium double radiography with 3 cases of false positive, and the accuracy rate was 65.0%（26/40）; thirty-three cases was diagnosed by 64-slice spiral CT with one case of false positive, and the accuracy rate was 80.0%（32/40）; the detection rate of mucosal lesion and malignant niche by upper gastrointestinal barium meal examination was 84.44% and 66.67%, which was significantly higher than 55.56% and 44.4% by spiral CT（P〈0.05）; the detection rate of gastric wall thickening by upper gastrointestinal barium meal examination was 40.00%, which was significantly lower than 77.78% by spiral CT（P〈0.05）; the detection rate of soft tissue mass by upper gastrointestinal barium meal examination was 77.78%, which was slightly higher than 68.89% by spiral CT（P〈0.05）.【Conclusion】In the clinical diagnosis of gastric cardia cancer patients, the use of spiral CT and upper gastrointestinal barium meal diagnosis can better judge and understand the patient＇s condition, thus helping for treatment and improvement of the prognosis, quality of life and survival of patients.

关 键 词：64排螺旋CT 上消化道气钡双重造影 胃底贲门癌 

分 类 号：R735.2[医药卫生—肿瘤]