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目的本研究将对多层螺旋CT在胃肠道外间质瘤(EGIST)临床诊断过程中的应用价值展开分析讨论。方法选择我院2010年12月至2012年12月所收治的19例经过手术病理得以证实的EGIST患者作为研究对象,对所有患者的临床CT资料进行回顾性分析。结果在本研究的所有患者中,有1例患者的肿瘤原发于肠系膜以及网膜中,1例患者的肿瘤原发于大网膜中,1例患者的肿瘤原发于肾上腺,4例患者的肿瘤位于腹腔中,8例患者的肿瘤位于腹膜后,在本研究的所有患者中,有13例恶性肿瘤患者,4例交界性肿瘤患者,2例良性肿瘤患者。所有患者的肿瘤直径为4.1~35 cm,其中有9例患者的肿瘤不规则,5例患者的肿瘤为分叶状,5例患者的肿瘤为类圆形。结论在对EGIST患者进行临床诊断的过程中,多层螺旋CT检查具有一定的代表性特点,它在EGIST的临床鉴别以及诊断过程中具有十分重要的应用价值,因此,可以在临床诊断EGIST的过程中进行大力推广并普及使用。
Objective This study was to investigate the value of multi-slice spiral CT in the clinical diagnosis of gastrointestinal stromal tumors (EGIST). Methods Nineteen patients with pathologically proven EGIST admitted from December 2010 to December 2012 in our hospital were enrolled in this study. Clinical CT data of all patients were retrospectively analyzed. Results Of all the patients in this study, one patient developed tumors in the mesentery and omentum, one patient developed an omentum in the omentum, one patient developed tumors in the adrenal gland, and four patients Of the tumors were located in the peritoneal cavity. The tumors of 8 patients were located retroperitoneally. Of the patients in this study, 13 were malignant, 4 were borderline, and 2 were benign. All patients had a tumor diameter of 4.1-35 cm. Nine of the patients had irregular tumors, five had lobulated tumors, and five had roundish tumors. Conclusion In the clinical diagnosis of EGIST patients, multi-slice spiral CT examination has some representative features, which in EGIST clinical identification and diagnosis has a very important value, therefore, in the clinical diagnosis of EGIST process In the promotion and popularization of use.