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目的:对64排螺旋CT扫描在胃癌术前TNM分期中的判断价值进行分析。方法:选取我院在2015年4月到2016年11月收治的67例胃癌患者,在患者术前对其进行64排螺旋CT动态增强扫描,结合扫描结果做出分期诊断,并将64排螺旋CT扫描诊断结果与患者临床病理TNM分期进行对照。结果:胃癌患者的CT表现为淋巴结及远处、邻近脏器的转移,胃壁多层结构破坏等。64排螺旋CT扫描的T、N、M分期准确率分别为68.66%、74.85%、64.29%。结论:通过64排螺旋CT增强扫描对进展期术前胃癌TNM分期进行评估能够取得非常高的准确性,用在术前胃癌患者的分期评估中具有非常显著的临床价值,值得推广。
Objective: To evaluate the value of 64-slice spiral CT in the preoperative TNM staging of gastric cancer. Methods: Sixty-seven patients with gastric cancer who were treated in our hospital from April 2015 to November 2016 were enrolled in this study. They were subjected to 64-slice spiral CT dynamic contrast-enhanced scan before operation, combined with the scan results to make staging diagnosis. The 64-row spiral CT scan diagnosis and clinical pathological TNM staging were controlled. Results: The CT findings of patients with gastric cancer were lymph node and distant metastasis of adjacent organs, multi-layer structure of gastric wall and so on. The accurate rates of T, N, M staging of 64-slice spiral CT scan were 68.66%, 74.85%, 64.29% respectively. Conclusion: The accuracy of 64-slice MSCT in assessing TNM staging of advanced preoperative gastric cancer is very high. It is of great clinical value in the staging assessment of patients with preoperative gastric cancer and is worthy of popularization.