解放军医药杂志2018，Vol.30Issue(2)：106-109,4.DOI:10.3969/j.issn.2095-140X.2018.02.028
64排螺旋CT对进展期胃癌患者术前分型和分期的临床研究
Clinical Effect of 64 Slice Spiral CT on Preoperative Typing and Staging of Patients with Advanced Gastric Car-cinoma
摘要
Abstract
Objective To investigate clinical application of 64 slice spiral CT on preoperative typing and staging of patients with advanced gastric carcinoma. Methods A total of 46 patients with advanced gastric carcinoma admitted during March 2014 and March 2016 underwent preoperative 64 slice spiral CT examinations and radical resection for gas-tric carcinoma. Results of Borrmann and TNM typing and TNM staging between 64 slice spiral CT and postoperative path-ological examination for advanced gastric carcinoma were compared. Results Compared with those by postoperative pathological examination for advanced gastric carcinoma,by 64 slice spiral CT,the overall coincidence rate was 78.26% for Borrmann typing diagnosis;the overall coincidence rate was 82.61% for T staging diagnosis;the overall coincidence rate was 84. 78% for N staging diagnosis; sensitivity and specificity for lymph node metastasis were 86. 11% and 80.00% respectively;the overall coincidence rate was 89.13% for M staging diagnosis,and sensitivity and specificity for distant metastasis were 54.55% and 100.00% respectively. Conclusion The 64 slice spiral CT examination in diagno-sis of advanced gastric cancer has good accuracy for Borrmann typing and TNM staging, and therefore it is valuable to learn typing and staging of gastric carcinoma before operation.关键词
胃肿瘤/肿瘤分期/组织学类型肿瘤/体层摄影术,螺旋计算机Key words
Stomach neoplasms/Neoplasm staging/Neoplasms by histologic type/Tomography/spiral computed分类
医药卫生引用本文复制引用
曹征,肖刚,兰军..64排螺旋CT对进展期胃癌患者术前分型和分期的临床研究[J].解放军医药杂志,2018,30(2):106-109,4.基金项目
湖北省教育厅科研项目(D20162102) （D20162102）
