16层螺旋CT对浸润型胃癌的诊断价值分析  

Analysis of 16--slice spiral CT in the diagnosis and application of infiltrative gastric carcinoma

作　　者：张义 颜小杭 

机构地区：[1]第三军医大学附属新桥医院放射科，重庆　400037

出　　处：《中国医学前沿杂志（电子版）》2017年第10期198-200,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的分析16层螺旋CT对浸润型胃癌的诊断价值。方法回顾性分析2013年1月至2016年6月本院接诊的80例浸润型胃癌患者的临床资料。比较16层螺旋CT与手术病理TNM分期的符合情况以及16层螺旋CT与胃镜诊断结果的一致性。结果 16层螺旋CT诊断浸润型胃癌T分期总符合率为91.25%(73/80),N分期总符合率为93.75%(75/80),M分期总符合率为96.25%(77/80)。胃镜诊断符合率为57.50%(46/80),16层螺旋CT诊断符合率为92.50%(78/80)。2种诊断方法与病理诊断符合率比较差异均具有显著性(P<0.05)。结论 16层螺旋CT诊断浸润型胃癌的准确性较高,在一定程度上弥补了胃镜诊断的不足,有助于术前TNM分期。Objective To analyze the diagnosis and application of 16-slice spiral CT in the diagnosis of infiltrative gastric carcinoma. Method Retrospectively analyzed the clinical data of 80 patients with infiltrative gastric carcinoma from January 2013 to June 2016 in our hospital. Compared the TNM staging of 16-slice spiral CT and pathology, and the diagnostic results of 16-slice spiral CT and gastroscopy. ResultThe T staging total coincidence rate of 16-slice spiral CT in the diagnosis of infiltrative gastric carcinoma was 91.25%（73/80）, N staging total coincidence rate was 93.75%（75/80）, M staging total coincidence rate was 96.25%（77/80）. Gastroscopic diagnosis coincidence rate was 57.50%（46/80）, 16-slice spiral CT diagnosis coincidence rate was 92.50%（78/80）. There was significant difference in diagnostic coincidence rate among 16-slice spiral CT, gastroscope and pathologic diagnosis（P〈0.05）. Conclusion The accuracy of 16-slice spiral CT in the diagnosis of infiltrative gastric carcinoma is high, to a certain extent, it make up the short coming of the traditional diagnostic methods and provide reference for preoperative TNM staging.

关 键 词：16层螺旋CT 浸润型胃癌 诊断 

分 类 号：R730.44[医药卫生—肿瘤] R735.2[医药卫生—临床医学]