摘要
目的分析胃超声造影在胃癌术前评估中的临床应用价值。方法回顾性选择我院收治的69例胃癌患者为研究对象,术前所有患者均予以胃超声造影检查,对照术后病理结果,统计胃超声造影诊断胃癌的符合率,评估病灶位置、大小的符合率,评估胃癌浸润深度（T分期）、淋巴结转移情况（N分期）的符合率。结果术前胃超声造影诊断胃癌的符合率为94.20%（65/69）,评估胃癌病灶位置的准确率为100%;且其对病灶大小的评估值（43.76±24.69）mm与手术病理结果（47.35±25.82）mm比较,差异无统计学意义（P〉0.05）。胃超声造影评估胃癌T分期的总符合率为83.08%,对T1~T4分期评估的符合率依次为91.67%、68.75%、80%、94.12%,其中对T1、T4分期评估的符合率高于T2、T3分期（P〈0.05）;胃超声造影评估胃癌N分期的总符合率为80%,对N0~N3分期评估的符合率依次为80%、78.57%、73.68%、100%,其中对N3分期评估的符合率高于N0~N2分期,差异有统计学意义（P〈0.05）。结论术前胃超声造影对胃癌的诊断率较高,可准确评估病灶的位置和大小,可较为准确的评估病灶的浸润深度和淋巴结转移情况,为临床手术方案的制定提供可靠的参考依据。
Objective To analyze the clinical application value of gastric ultrasonography in preoperative evaluation of gastric carcinoma. Methods 69 patients with gastric carcinoma selected retrospectively in our hospital were chosen as research objects. Before operation,all patients accepted gastric ultrasonography. We count the coincidence rate between gastric ultrasonography and postoperative pathological results in the diagnosis of gastric carcinoma,including lesion location,size,invasion depth（ T staging） and lymph node metastasis（ N staging）. Results The coincidence rate of preoperative gastric ultrasonography in the diagnosis of gastric carcinoma reached 94. 20%（ 65 / 69） and the accuracy of assesing the location of gastric carcinoma reached100%. When we contrast the assessed value of lesion size（ 43. 76 ± 24. 69） mm with operative pathological result（ 47. 35 ± 25. 82）mm,the difference showed no statistical significance（ P〈0. 05）. When we assessed the T staging of gastric carcinoma by gastric ultrasonography,the total coincidence rate reached 83. 08%. The coincidence rates of T1 to T4 stage,in order,were 91. 67%,68.75%,80% and 94. 12%,among which the coincidence rates of T1 and T4 stage were higher than those of T2 and T3 stage（ P〈0.05）. The total coincidence rate of N staging assessment of gastric carcinoma by gastric ultrasonography reached 80% and the coincidence rates of N0 to N3 stage,in order,were 80%,78. 57%,73. 68%,100%,among which the assessment of N3 stage has higher coincidence rate than N0 to N2 stage（ P〈0. 05）. Conclusion Preoperative gastric ultrasonography has relatively high diagnostic rate of gastric carcinoma,which can accurately estimate the size and location of the lesion,relatively accurately assess the invasion depth of the lesion as well as lymph node metastasis and provide a reliable reference for making clinical operation schemes.
出处
《四川医学》
CAS
2016年第3期341-343,共3页
Sichuan Medical Journal
关键词
胃癌
胃超声造影
术前评估
gastric carcinoma
gastric ultrasonography
preoperative assemment
