摘要
目的:探讨MSCT三维重建、MRI联合经腹超声胃充盈造影在胃癌TNM分期诊断中的应用价值。方法:选取2016年9月—2018年11月文昌市人民医院接收诊治的60例胃癌患者为研究对象,患者术前均行MSCT三维重建、MRI和超声胃充盈造影检查,根据检查结果对患者进行TNM分期,并与术后病理分期进行比较。结果:MSCT三维重建、MRI、超声胃充盈造影及三者联合检测对胃癌T分期诊断的敏感性分别为80.00%、85.00%、71.67%、96.67%;N分期诊断的敏感性分别为78.33%、76.67%、80.00%、93.33%;M分期诊断的敏感性分别为83.33%、80.00%、86.67%、98.33%。三者联合检测对胃癌T、N、M分期诊断的敏感性均显著高于各单项检测(P<0.05)。结论:MSCT三维重建、MRI联合经腹超声胃充盈造影可显著提高胃癌T、N、M分期诊断敏感性,对指导临床治疗方案的选择和疗效评估具有一定的参考价值。
Objective: To investigate the value of m ulti-slice spiral CT(MSCT) 3D reconstruction, MRI combined with transabdominal gastric filling ultrasound for TNM staging of gastric cancer. Methods: From September 2016 to November2018, 60 patients with gastric cancer who were diagnosed and treated in Wenchang People’s Hospital were selected as the study subjects. MSCT 3D reconstruction, MRI, and gastric filling ultrasound were performed before operation, TNM staging was performed according to the results of examination, and postoperative pathological staging was compared. Results: The sensitivity of MSCT 3D reconstruction, MRI, gastric filling ultrasound, and combined detection of the three for T-staging of gastric cancer was 80.00%, 85.00%, 71.67%, and 96.67%, respectively. The sensitivity of N stage was 78.33%, 76.67%, 80.00% and93.33%, respectively, the sensitivity of M stage was 83.33%, 80.00%, 86.67% and 98.33%, respectively. The sensitivity of combined detection for T, N, and M staging of gastric cancer was significantly higher than that by single detection(P<0.05).Conclusion: MSCT 3D reconstruction, MRI combined with transabdominal gastric filling ultrasound can significantly improve the sensitivity in the diagnosis of T, N, M staging of gastric cancer, which has some value for guiding the selection of clinical treatment options and evaluation of treatment effect.
作者
王山
云昊
陈国
WANG Shan;YUN Hao;CHEN Guo(Wenchang People’s Hospital,Wenchang Hainan 571300,China)
出处
《中国临床医学影像杂志》
CAS
2020年第7期486-489,494,共5页
Journal of China Clinic Medical Imaging
关键词
胃肿瘤
肿瘤分期
体层摄影术
螺旋计算机
磁共振成像
超声检查
Stomach neoplasms
Neoplasm staging
Tomography
spiral computed
Magnetic resonance imaging
Ultrasonography
