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目的分析贲门癌的多排螺旋CT表现,并与胃镜对照评价多排螺旋CT在贲门癌诊断中的应用价值。方法回顾性分析经手术病理证实的38例贲门癌的术前胃镜、多排螺旋CT增强扫描等检查资料,并与术后病理进行对照。结果胃镜诊断符合率为100%,活检病理确诊率为100%;CT定位准确率为100%,T分期准确率为83%,N分期准确率为85%。结论胃镜检查是进展期贲门癌诊断的重要方法,多排螺旋CT扫描弥补了胃镜的不足,是胃镜的良好补充,也可作为贲门癌术前分期的依据,二者结合能提高对贲门癌的综合诊断水平。
Objective To analyze the multi-slice spiral CT findings of cardia cancer and evaluate the value of multi-slice spiral CT in the diagnosis of gastric cardia cancer with gastroscopy. Methods Retrospective analysis of 38 cases of cardia cancer confirmed by surgery and pathology before gastroscopy, multi-slice spiral CT enhanced scan and other test data, and compared with postoperative pathology. Results The coincidence rate of endoscopy and endoscopy was 100% and 100% respectively. The accuracy of CT localization was 100%, the accuracy of T staging was 83%, and the accuracy of N staging was 85%. Conclusion Gastroscopy is an important method for the diagnosis of advanced cardia cancer. Multi-slice spiral CT can make up for the insufficiency of gastroscopy and is a good supplement for gastroscopy. It can also be used as the basis for the preoperative staging of cardia cancer. Comprehensive diagnosis level.