胃充气状态下上腹部加强CT扫描判断贲门癌的可切除性  

The Preoperative Evaluation of Respectability of Cancer of Gastric Cardia by Upper Abdominal CT Scan With Gas-filled Stomach

作　　者：徐有望[1] 黄忠雄[1] 

机构地区：[1]郴州市第一人民医院,湖南郴州423000

出　　处：《南华大学学报（医学版）》2003年第3期288-289,313,共3页Journal of Nanhua University(Medical Edition)

摘　　要：目的　判断贲门癌切除的可能性。方法　 77例贲门癌患者术前行胃充气状态下用 76 %泛影葡胺 1 0 0mL(离子型造影剂 )做上腹部加强CT扫描。结果　CT预测 5 5例能完成根治性手术切除的病例中 ,5 3例行根治性切除 ,2例行姑息性切除。预测 2 2例不宜手术 ,结果 1 0例手术探查 ,1 0例姑息切除 ,2例根治性切除。其判断贲门癌是否根除手术的阳性预测准确率为 90 .9% ,阴性预测准确率为 96 .4 %。objective To study the respectability of cancer of gastric cardia. Methods 77 preoperative patients received upper abdominal enhanced CT scan with gas- filled stomach. Results Among 55 patients whose tumor were respectable judged by CT scan, 53 received radical resection, 2 palliative operation. Among 22 patients whose tumor were unresectable judged by CT scan, 11 received exploration, 10 palliative operation and 2 radical resection. The positive expectation rate and negative expectation rate for the unresectability of cancer of gastric cardia is 90.9% and 96.4%. Conclusion preoperative upper abdominal CT scan with gas- filled stomach is of great value to judge the respectability of cancer of gastric cardia.

关 键 词：胃充气 上腹部CT扫描 贲门癌 根治性手术切除 手术治疗 

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