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螺旋CT三期增强扫描对胃癌T分期的诊断价值

时间:2006-11-17 21:01:07  来源:  作者:

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Diagnostic Value of TStaging of Gastric Carcinoma with Triphase Incremental Helical CT

 

郭华,高剑波,张焱,杨学华,李荫太

GUO HuaGAO JianboZHAN GYanet alDepartment of Radiologythe First Teaching Hospital of Zhengzhou UniversityZhengzhou 450052China

 

Abstract

  ObjectiveTo evaluate the enhancing characteristics of the normal gastric wall and gastric carcinoma with triphase incremental helical CTand the diagnostic value of Tstaging of gastric carcinoma.

  MethodsTriphase incremental helical CT of the stomach with waterfilling method was performed in 101 patients with gastric carcinoma.

  ResultsNinetynine patients were approved by postoperative pathologythe accuracy of Tstaging was 81.8. The accuracy of Tstaging of multilayered structure of the normal gastric wall was marked higher than that of monolayer structure in arterial portal venousphase. Tstage of 7 patient was wrong in the arterialportal venousphase but was corrected in the equilibriumphase.

  ConclusionTriphase incremental helical CT improved the accuracy of Tstaging of gastric carcinoma.

  Key wordsStomach neoplasmStagingHelical CT

 

  本研究旨在评价低张水充盈螺旋CT三期增强扫描正常胃壁及肿瘤的强化特点,及对胃癌T分期的诊断价值。

 

材料与方法

  收集19972月至20004月胃低张水充盈螺旋CT三期增强扫描101例,其中早期胃癌5例,进展期胃癌96例,所有病例均经手术病理证实。男69例,女32例,年龄3580岁,平均60岁。

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