64层螺旋CT对胃癌的诊断价值分析

64层螺旋CT对胃癌的诊断价值分析

高志华;简继华;任宏伟;刘桂林

【期刊名称】《重庆医学》 【年(卷),期】2013(000)031

【摘要】Objective To explore the diagnostic value of 64 layers spiral CT for gastric carcinoma .Methods The 87 patients (primarily diagnosed gastric carcinoma )were studied and scanned under 64 layers spiral CT including plain scans and enhanced scans respectively .The source images were reconstructed using the technique of multilane volume reconstruction (MPVR) and CT virtual endoscopy (CTVE) and conducting TNM stage ,then compared to histopathology results after surgery .Results 85 out of 87 patients with gastric carcinoma were diagnosed by CT .Detection rate of multi-detector CT(MDCT) for gastric cancer was 97 .7% , while the early stage and advanced stage gastric carcinoma were 66 .7% and 100% respectively .The accuracies of 64 layers spiral CT for the T stage ,the N stage and the M stage of the gastric

carcinoma

were

83

.9%

,72

.4%

and

92

.0%

respectively .Conclusion 64 layers spiral CT could be helpful for the diagnosis of gastric carcinoma and TNM stage .It might play great roles for the diag-nosis and treatment of gastric carcinoma .%目的：探讨64层螺旋C T对胃癌的诊断价值。方法对87例胃癌患者进行64层螺旋C T平扫及动态增强扫描，采用多平面重建（MPR）、仿真内镜（CTVE）技术重建分析，