摘要
目的:比对在胃底贲门癌的诊断中分别采用上消化道钡餐造影与螺旋CT临床诊断效果。方法:选取60例胃底贲门癌患者,以随机数字表法将患者进行分组,给予螺旋CT诊断的患者设为对照组,给予上消化道钡餐造影诊断的患者设为试验组,对两组患者的临床影像表现的检出情况和临床诊断情况进行比对。结果:试验组的恶性龛影检出率(90.00%)、软组织肿块检出率(93.33%)、黏膜病变检出率(86.67%),显著高于对照组患者的恶性龛影检出率(33.33%)、软组织肿块检出率(40.00%)、黏膜病变检出率(43.33%),但试验组患者的胃壁增厚检出率(36.67%)显著低于对照组患者的胃壁增厚检出率(80.00%);试验组患者的敏感度、特异度、准确度以及Youden指数显著高于对照组患者的,差异有统计学意义(P<0.05)。结论:上消化道钡餐造影在胃底贲门癌的诊断中更为突出,同时联合螺旋CT检查可以提高临床诊断准确性,值得临床进一步使用和研究。
Objective To compare the clinical value of upper gastrointestinal barium meal and spiral CT on diagnosing pylorus and cardia cancer. Method 60 pylorus and cardia cancer patients who were diagnosed and treated were divided into two groups randomly,control group used spiral CT to diagnose,test group used upper gastrointestinal barium meal,two groups＇ detection situation and clinical diagnosis situation were compared. Results Test group＇ s detection rate of malignant niche（ 90. 00%）,detection rate of soft tissue（ 93. 33%）,detection rate of membrane（ 86. 67%） were obvious higher than control group＇ s（ 33. 33%）,（ 40. 00%） and（ 43. 33%）,respectively,while test group＇ s detection rate of partietal incrassation（ 36. 67%） was obvious lower than control group＇s 80. 00%; Test group＇s sensitivity,specificity,accuracy and Youden index were obvious higher than control group,the difference had statistical significance（ P〈0. 05）. Conclusion Upper gastrointestinal barium meal has significant effect in diagnosing pylorus and cardia cancer compared,upper gastrointestinal barium meal combined with spiral CT can improve the diagnostic accuracy,which is worthy of application and research.
出处
《吉林医学》
CAS
2016年第2期299-301,共3页
Jilin Medical Journal
关键词
胃底贲门癌
消化道钡餐造影
螺旋CT
临床诊断效果
Pylorus and cardia cancer
Gastrointestinal barium meal
Spiral CT
Clinical diagnostic effect
