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超声内镜和螺旋CT对56例胃癌TMN分期的临床分析 被引量:7

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摘要 目的比较超声内镜和螺旋CT检查对胃癌术前TNM分期的应用价值。方法回顾性分析2009年1月~2009年12月56例经活检证实并术前经超声内镜和螺旋CT检查的56例胃癌患者,确定肿瘤侵犯深度(T)、局部淋巴结转移(N)、周围及远处器官转移(M)等情况,并与术后病理检查结果对照。结果对T分期的准确率,内镜超声检查(EUS)为76.7%,螺旋CT检查为71.4%,两者的准确率差异无统计学意义(P>0.05),对Tl、T2期胃癌,EUS与HCT的准确率分别为75.7%、48.4%。对N分期的准确率,P<0.05(以第五版TNM分期标准),EUS与HCT分别为66.0%和67.8%,两者的准确率差异均无统计学意义(P>0.05)。对M分期两者的准确率分别为30%、80%,P<0.05。结论 EUS和HCT在胃癌术前TNM分期中均有较高的准确性,对胃壁较浅层受浸润深度的判断以EUS为优,对远处转移的判断以HCT为优。
出处 《当代医学》 2010年第28期83-84,共2页 Contemporary Medicine
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参考文献8

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