双重对比造影与CT联合诊断胃癌的临床价值  

The Diagnosis of Gastric Carcinoma:the Value of Double-contrast Barium Combined with CT

作　　者：张红霞[1] 张修石[1] 吴梅[1] 曲丽英[1] 于树江[1] 

机构地区：[1]哈尔滨医科大学第三临床医学院影像诊断科,黑龙江哈尔滨150040

出　　处：《实用放射学杂志》2002年第12期1058-1060,共3页Journal of Practical Radiology

基　　金：黑龙江省科委攻关课题资助项目 (编号G96C1 9- 5 -0 1 )

摘　　要：目的　评价双重对比造影与CT联合诊断胃癌在临床上的价值。方法　收集经手术及病理证实的 112例胃癌。单纯双重对比造影检查 69例 ,CT检查 43例 ,其中 3 2例采用联合法检查 ,所得结果与手术及病理进行对照分析。结果　双重对比造影判断胃癌大体分期的准确性为 91.3 %。双重对比造影与联合法判断胃癌大体类型的符合率分别为 67.74%、72 .41% ,优于CT法(4 7.2 2 % ,Ρ <0 .0 5 )。CT判断胃周邻近器官受侵的准确性为 90 .99%。结论　在胃癌的诊断中 ,双重对比造影与CT的联合应用起了互相补充的作用 ,提高了胃癌的影像诊断水平 ,扩展了胃癌的影像诊断范围 。Objective The purpose of this paper was to evaluate the clinical value of double-contrast barium(DCB) combined with CT in the diagnosis of gastric carcinoma.Methods 112 patients with gastric carcinoma confirmed by surgery and pathology between 1990 and 1997 were included.69 patients took DCB of the upper gastric intestinal tract.43 patients were given CT scans,in whom 32 patients took DCB before CT.Results The accuracy of gastric carcinoma staging determined by DCB were 91.3%.The accordant rate of gross type of gastric carcinoma determined by DCB and the combined way were respectively 67.74% and 72.41%,superior to CT(47.22%,Ρ<0.05).CT had higher accuracy(90.99%) in determining the involvement of perigastric organs.Conclusion In the diagnosis of gastric carcinoma,the combination of DCB and CT played a complement role to each other.This combination may improve the radiological level of gastric carcinoma diagnosis,expand the radiological range of gastric carcinoma diagnosis,provide more valuable basis for selecting and designing appropriate treatment strategies.

关 键 词：双重对比造影 胃癌 CT诊断 电子计算机断层 钡餐 

分 类 号：R735.2[医药卫生—肿瘤] R814.[医药卫生—临床医学]