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目的评价多层螺旋CT诊断胃间质瘤的临床价值。方法回顾性分析我院于2012年3月至2013年10月收治23例胃间质瘤患者的临床资料,均行多层螺旋CT平扫和增强扫描。结果 23例患者共检出23处胃间质瘤病灶,均为单发,位于胃体部11例,胃底部7例,胃窦部5例;肿瘤大小:<5 cm者12例,5~10 cm者10例,>10 cm者1例;腔内生长4例,腔外生长7例,腔内外生长12例;有1例出现肝转移,1例出现脾转移,23处病灶CT均定位准确。结论采用多层螺旋CT检查对胃间质瘤的诊断具有较高价值,且肿瘤定位诊断率极佳。
Objective To evaluate the clinical value of multi-slice spiral CT in the diagnosis of gastric stromal tumors. Methods The clinical data of 23 patients with gastric stromal tumors from March 2012 to October 2013 in our hospital were retrospectively analyzed. All patients underwent multi-slice spiral CT scan and enhanced scan. Results Twenty-three gastric stromal tumors were detected in 23 patients, all of them were solitary. There were 11 cases in the stomach, 7 cases in the stomach and 5 cases in the stomach. The size of the tumor was 12 cm in 5 cm 10 cases of ~ 10 cm and 1 case of> 10 cm. There were 4 cases of intracavitary growth, 7 cases of extracavitary growth and 12 cases of intracavitary and external growth. One case had hepatic metastasis, one case had splenic metastasis, 23 cases had CT Positioning accuracy. Conclusion Multi-slice spiral CT examination has high value for the diagnosis of gastric stromal tumors, and the diagnosis of tumor location is very good.