摘要
目的 分析多层螺旋CT在胃癌术前新辅助化疗临床分期中的应用价值。方法 80例确诊为胃癌的患者作为研究对象,在进行术前新辅助化疗前均进行多层螺旋CT检查,将病理组织学检查结果作为金标准,分析多层螺旋CT应用于胃癌患者TNM分期中的诊断准确率。结果 多层螺旋CT的T分期诊断准确率为97.50%,与病理组织学检查对比,差异不具有统计学意义(P>0.05)。多层螺旋CT的N分期诊断准确率为96.25%,与病理组织学检查对比,差异不具有统计学意义(P>0.05)。多层螺旋CT的M分期诊断准确率为100.00%,与病理组织学检查对比,差异不具有统计学意义(P>0.05)。结论 胃癌的发生与多方面因素密切相关,在对患者进行新辅助化疗前,将多层螺旋CT应用于患者的病情诊断中具有较高的诊断准确率,并且将其应用于中晚期患者的病情判断中,能够获得良好的效果,具有可应用价值,值得进行推广。
Objective To analyze the application value of multi-slice spiral CT in clinical staging of preoperative neoadjuvant chemotherapy for gastric cancer.Methods 80 gastric cancer patients were selected as the research subjects.The researchers performed multi-slice spiral CT and pathological histology examination on the patients before neoadjuvant chemotherapy.The results of pathological examination were used as the gold standard to analyze the accuracy of multi-slice spiral CT in judging the TNM stage of gastric cancer patients.Results The accuracy of T stage diagnosis by multi-slice spiral CT was 97.50%,and the difference was not statistically significant compared with pathological histology examination(P>0.05).The accuracy rate of N stage diagnosis by multi-slice spiral CT was 96.25%,and the difference was not statistically significant compared with pathological histology examination(P>0.05).The accuracy of M stage diagnosis by multi-slice spiral CT was 100.00%,and the difference was not statistically significant compared with pathological histology examination(P>0.05).Conclusion The occurrence of gastric cancer is closely related to many factors.The application of multi-slice spiral CT before neoadjuvant chemotherapy has high diagnostic accuracy.The application of multi-slice spiral CT in the diagnosis of patients in the middle and late stag can obtain good results,and has application value,which is worthy of promotion.
作者
赵润
华伟伟
ZHAO Run;HUA Wei-wei(Department of Radiology,Jiading District Hospital of Traditional Chinese Medicine,Shanghai 201800,China)
出处
《中国现代药物应用》
2024年第1期73-76,共4页
Chinese Journal of Modern Drug Application
关键词
多层螺旋CT
胃癌
新辅助化疗
临床诊断
应用价值
Multi-slice spiral CT
Gastric cancer
Neoadjuvant chemotherapy
Clinical diagnosis
Application value
