上消化道造影和CT扫描诊断胃部肿瘤应用价值及检出率分析  

Analysis of the Application Value and Detection Rate of Upper Gastrointestinal Angiography and CT Scan in the Diagnosis of Gastric Tumors

作　　者：陆伟[1] 何顺利 LU Wei;HE Shunli(Department of Radiology,The Fifth Hospital of Huangshi,Huangshi 435005,Hubei,P.R.China;Department of Radiology,Huangshi Traditional Chinese Medicine Hospital,Huangshi 435000,Hubei,P.R.China)

机构地区：[1]黄石市第五医院放射科,湖北黄石435005 [2]黄石市中医医院放射科,湖北黄石435000

出　　处：《影像科学与光化学》2020年第4期724-728,共5页Imaging Science and Photochemistry

摘　　要：探讨分析上消化道造影和CT扫描诊断胃部肿瘤应用价值及检出率。患者均接受CT扫描检查及上消化道造影检查,并将临床/胃镜诊断结果作为对比金标准。与金标准相比,CT扫描检查及上消化造影检查的准确率、特异度及灵敏度无显著差异(P>0.05),均能给予胃部肿瘤有效诊断,但是针对较大的病灶来说,CT扫描检查更加具有优势,而针对微小的病灶来说,上消化道造影检查优势更为明显,病灶侵犯肌层及粘膜下层时,上消化道造影检查更为敏感,二者相互结合的临床应用价值最为理想。To investigate the application value and detection rate of upper gastrointestinal angiography and CT scan in the diagnosis of gastric tumors.All patients underwent CT scan and upper gastrointestinal angiography,and took the clinical/gastroscopy results as the gold standard.Compared with the gold standard,there was no significant difference in the accuracy,specificity and sensitivity of CT scan and upper gastrointestinal angiography(P>0.05).Both upper gastrointestinal angiography and CT scan can effectively diagnose gastric tumors.However,for larger lesions,CT scan is more advantageous,and small for the lesions,the advantages of the upper gastrointestinal angiography are more obvious.When the lesions invade the muscular layer and submucosa,the upper gastrointestinal angiography is more sensitive.The combination of the two is the most ideal for clinical application value.

关 键 词：胃癌 上消化道造影 CT扫描检查 胃部肿瘤 

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