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内镜螺旋CT增强扫描对进展期贲门癌的诊断研究

Diagnostic Value of Endoscopy and Spiral CT in Advanced Cardiac Carcinoma
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摘要 目的:探讨进展期贲门癌的内镜下形态学变化和螺旋CT强化特征,评估内镜与螺旋CT增强扫描对进展期贲门癌的诊断价值。方法:对91例进展期贲门癌的术前内镜、螺旋CT增强扫描等检查资料进行综合分析,并与术后病理进行对照。结果:①内镜诊断符合率100%,活检病理确诊率93.4%。②CT定位准确率100%,T分期准确率78%,N分期准确率79.1%。结论:内镜检查是确诊进展期贲门癌的重要方法,螺旋CT扫描弥补了内镜的不足,是内镜的良好补充,也可作为贲门癌术前分期的依据,二者结合能提高对贲门癌的综合诊断水平。 Objective: To invesigate the morphological changes in endoscopy and strengltem characters in spiral CT,and evahate their diagnostic value in advanced cardiac carcinoma. Method:The data of endoscope and spiral CT were analyzed and compared with postoperative pathological finding in 91 cases with advanced cardiac carcinoma. Result:①The match rate of endoscopic diagnosis is 100% ,and the conformeddiagnosis rate of biospy with endoscope is 93%.②The accurate rate of localization with spiral CT is 100%, of T staging is 78% and N staging is 79.1%. Conclusion: Endoscope is one of the most important method for conform - diagnosis of advanced cardiac carcinoma. Spiral CT, as a complement of endoscope, can remedy the limit of the latter and provide the evidence for preoperative staging. Having complementary advantages of endcoscope and spiral CT can shoot for a higher diagnositic level for cardiac carcinoma.
出处 《河北医学》 CAS 2006年第4期330-331,共2页 Hebei Medicine
关键词 内镜 螺旋CT 贲门癌 Endoscope Spiral CT Cardiac carcinoma
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