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目的:探讨螺旋CT检查对进展期胃癌的诊治价值。方法:分析2005年3月至2007年2月间,我院收治的12例进展期胃癌病例资料及相关文献。结果:12例中9例行R_2根治术,1例的行姑息性胃肠吻合术,2例手术探查后放弃手术,其中1例因诊断问题,产生医患纠纷(患方认为术前胃镜检查未发现胃窦部肿瘤);另1例因肿瘤侵犯胰尾及膈肌需行扩大根治术,因经济原因放弃手术。结论:螺旋CT检查对进展期胃癌的术前分期诊断有较高价值,可有效地为临床治疗方案的选择提供指导,螺旋CT应作为进展早期胃癌的常规检查进行。
Objective: To investigate the value of spiral CT in the diagnosis and treatment of advanced gastric cancer. Methods: From March 2005 to February 2007, 12 cases of advanced gastric cancer admitted to our hospital and relevant literature. Results: Of the 12 patients, 9 patients underwent radical resection of R_2, 1 patient underwent palliative gastrointestinal anastomosis and 2 patients surrendered after surgical exploration. Among them, 1 patient was diagnosed with the problem of doctor-patient (the patient considered gastroscopy Not found in gastric antrum tumor); another case of pancreatic tail and diaphragm due to tumor invasion need to expand radical mastectomy, because of economic reasons to give up surgery. Conclusion: Spiral CT examination of advanced gastric cancer preoperative staging diagnosis of high value, which can effectively guide the choice of clinical treatment options, spiral CT should be used as a routine examination of advanced gastric cancer progress.