摘要
目的探讨气钡双重造影与多排螺旋CT诊断胃癌的临床价值。方法选取2014年3月至2015年3月我院收治的经手术确诊的60例胃癌患者作为本次研究对象,随机分为两组,A组采用气钡双重造影,B组采用螺旋CT进行诊断,比较两组胃癌的阳性检出率以及与手术病理结果的符合率。结果A组胃癌阳性与病理符合率70%(21/30),B组胃癌阳性与病理符合率为80.0%(24/30),两组比较具有显著性差异(P<0.05)。螺旋CT对于胃癌Ⅰ、Ⅱ、Ⅲ及Ⅳ期的诊断符合率分别为50%、66.7%、91.6%和81.8%。结论多排螺旋CT对胃癌阳性检出率显著高于气钡双重造影,并且对于胃癌的临床分期与病理符合性较好。
Objective To compare the clinical value of double contrast radiography and spiral CT in the diagnosis of gastric cancer. Methods From March 2013 to March 2014, 60 patients with gastric cancer in Xi-anning Central Hospital of Hubei Province were selected as the research objects, and randomly divided into two groups with equal cases. Group A received air barium double contrast radiography, and group B received spiral CT examination. The positive detection rate of gastric cancer and the coincidence rate with surgical pathology of the two groups were compared. Results The coincidence rate of gastric cancer was 70%（21/30） in Group A, and 83.3%（25/30） in Group B （P〈0.05）. Diagnostic coincidence rates of spiral CT for gastric cancer inⅠ,Ⅱ,ⅢandⅣperiod were 50%（2/4）, 66.7%（2/3）, 91.6%（11/12） and 81.8%（9/11）, respectively. Conclusion Spiral CT had a higher coincidence rate with gastric cancer than the double radiography, spiral CT plays a more important role in clinical evaluation and treatment of gastric cancer.
出处
《现代消化及介入诊疗》
2016年第1期60-62,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
气钡双重造影
诊断价值
手术病理
螺旋CT
Spiral CT
Double contrast radiography
Diagnostic value
Surgical pathology
