超声内镜与多层螺旋 CT 对胃癌分期诊断价值的研究

摘要

Objective :To analyze ultrasonic endoscope and the value of multislice CT for staging diagnosis of gastric cancer .Methods :During February 2013 to February 2014 ,our hospital for stomach cancer confirmed by biopsy of 67 pa‐tients as the research object ,to all of the patients in the preoperative adopt multislice CT and endoscopic ultrasound , and compared with surgical pathology analysis .Results :Endoscopic ultrasonography the preoperative T staging accuracy was 82 .1% (55/67) ,spiral CT was 86 .6% (58/67) ,no statistically significant difference is compared between two groups (P>0 .05);Endoscopic ultrasonography was 61 .2% (41/67) of patients with lymph node metastasis sensitivi‐ty ,spiral CT was 92 .5% (62/67) of patients with lymph node metastasis sensitivity ,the more significant difference between the two groups (P<0 .05) .Conclusion:In patients with gastric cancer staging diagnosis ,the use of endoscopic ultrasonography and multilayer spiral CT has higher accuracy ,if the two are pooling can provide detailed basis for the treatment of patients with gastric cancer ,as well as the evaluation of the prognosis of patients with also have important significance .%目的：分析超声内镜与多层螺旋C T对胃癌分期诊断的价值。方法：选取2013年2月－2014年2月期间，我院收治的经活检证实为胃癌的67例患者为研究对象，对所有患者在术前均采用多层螺旋C T以及内镜超声检查，同时与手术病理进行对比分析。结果：超声内镜术前T分期准确率为82．1％（55／67），螺旋C T为86．6％（58／67），两组间比较差异无统计学意义（ P＞0．05）；超声内镜对患者淋巴结转移敏感性为61．2％（41／67），螺旋C T对患者淋巴结转移敏感性为92．5％（62／67），两组间比较差异显著（ P＜0．05）。结论：在对胃癌患者分期诊断时，利用超声内镜以及多层螺旋CT均有较高的准确性，若是将两者进行合用能够对胃癌患者的治疗提供详细依据，同时对患者的预后评价同样具备重要意义。